SHOVE INSURANCE, INC. 401K PLAN
|
2022
|
050217410
|
2023-12-01
|
SHOVE INSURANCE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
4017530055
|
Plan sponsor’s
address |
PO BOX 555, PAWTUCKET, RI, 028620555
|
Signature of
Role |
Plan administrator |
Date |
2023-12-01 |
Name of individual signing |
WILLIAM HUNT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2022
|
050217410
|
2023-06-06
|
SHOVE INSURANCE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
4018297747
|
Plan sponsor’s
address |
1401 NEWPORT AVE, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2023-06-06 |
Name of individual signing |
WILLIAM HUNT SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2021
|
050217410
|
2022-10-11
|
SHOVE INSURANCE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
1401 NEWPORT AVE, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2020
|
050217410
|
2021-07-30
|
SHOVE INSURANCE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
1401 NEWPORT AVE, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2019
|
050217410
|
2020-07-14
|
SHOVE INSURANCE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
1401 NEWPORT AVE, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2018
|
050217410
|
2019-06-13
|
SHOVE INSURANCE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
1401 NEWPORT AVE, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2019-06-13 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2017
|
050217410
|
2018-09-11
|
SHOVE INSURANCE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
1401 NEWPORT AVE, RUMFORD, RI, 02861
|
Signature of
Role |
Plan administrator |
Date |
2018-09-11 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2016
|
050217410
|
2017-10-12
|
SHOVE INSURANCE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
376 NEWPORT AVE, RUMFORD, RI, 02916
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2015
|
050217410
|
2016-10-17
|
SHOVE INSURANCE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
376 NEWPORT AVE, RUMFORD, RI, 02916
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2014
|
050217410
|
2015-07-29
|
SHOVE INSURANCE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1973-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
8666588800
|
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2013
|
050217410
|
2014-06-27
|
SHOVE INSURANCE, INC.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/27/20140627135746P030407213859001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1973-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Signature of
Role |
Plan administrator |
Date |
2014-06-27 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-27 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2012
|
050217410
|
2013-06-07
|
SHOVE INSURANCE, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/07/20130607093210P030087397973001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1973-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-07 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2011
|
050217410
|
2012-09-28
|
SHOVE INSURANCE, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/28/20120928081426P040002876710001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1973-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Plan administrator’s name and address
Administrator’s EIN |
050217410 |
Plan administrator’s name |
SHOVE INSURANCE, INC. |
Plan administrator’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
8666588800 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-28 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2010
|
050217410
|
2011-07-22
|
SHOVE INSURANCE, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/22/20110722091134P030014382850001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1973-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Plan administrator’s name and address
Administrator’s EIN |
050217410 |
Plan administrator’s name |
SHOVE INSURANCE, INC. |
Plan administrator’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
8666588800 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-22 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2009
|
050217410
|
2010-07-19
|
SHOVE INSURANCE, INC.
|
12
|
|
Three-digit plan number (PN) |
002 |
Effective date of plan |
2006-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Plan administrator’s name and address
Administrator’s EIN |
050217410 |
Plan administrator’s name |
SHOVE INSURANCE, INC. |
Plan administrator’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
8666588800 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-19 |
Name of individual signing |
WILLIAM J. HUNT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2009
|
050217410
|
2010-07-27
|
SHOVE INSURANCE, INC.
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/27/20100727142647P040130146882001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2006-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Plan administrator’s name and address
Administrator’s EIN |
050217410 |
Plan administrator’s name |
SHOVE INSURANCE, INC. |
Plan administrator’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
8666588800 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
WILLIAM HUNT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
WILLIAM HUNT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2009
|
050217410
|
2010-07-21
|
SHOVE INSURANCE, INC.
|
12
|
|
Three-digit plan number (PN) |
002 |
Effective date of plan |
2006-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Plan administrator’s name and address
Administrator’s EIN |
050217410 |
Plan administrator’s name |
SHOVE INSURANCE, INC. |
Plan administrator’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
8666588800 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
JOHN FRANCIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
JOHN FRANCIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SHOVE INSURANCE, INC. 401K PLAN
|
2009
|
050217410
|
2010-07-19
|
SHOVE INSURANCE, INC.
|
12
|
|
Three-digit plan number (PN) |
002 |
Effective date of plan |
2006-01-01 |
Business code |
524140 |
Sponsor’s telephone number |
8666588800 |
Plan sponsor’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Plan administrator’s name and address
Administrator’s EIN |
050217410 |
Plan administrator’s name |
SHOVE INSURANCE, INC. |
Plan administrator’s
address |
100 EAST AVENUE, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
8666588800 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
J. DAVID FRANCIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-19 |
Name of individual signing |
WILLIAM J. HUNT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|