FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2020
|
050387975
|
2021-07-02
|
RUSS TOWERS INSURANCE AGENCY INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Signature of
Role |
Plan administrator |
Date |
2021-07-02 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2019
|
050387975
|
2020-06-29
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2018
|
050387975
|
2019-06-18
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2017
|
050387975
|
2018-05-23
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Signature of
Role |
Plan administrator |
Date |
2018-05-22 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2016
|
050387975
|
2017-07-18
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Signature of
Role |
Plan administrator |
Date |
2017-05-16 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2015
|
050387975
|
2016-06-17
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Signature of
Role |
Plan administrator |
Date |
2016-06-07 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2014
|
050387975
|
2015-06-22
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Signature of
Role |
Plan administrator |
Date |
2015-06-17 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2013
|
050387975
|
2014-06-06
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Signature of
Role |
Plan administrator |
Date |
2014-06-02 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2012
|
050387975
|
2013-06-28
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2011
|
050387975
|
2012-07-18
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016248462
|
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878
|
Plan administrator’s name and address
Administrator’s EIN |
050387975 |
Plan administrator’s name |
RUSS TOWERS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878 |
Administrator’s telephone number |
4016248462 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2010
|
050387975
|
2011-07-21
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/21/20110721155943P040100718417002.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4016248462 |
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878 |
Plan administrator’s name and address
Administrator’s EIN |
050387975 |
Plan administrator’s name |
RUSS TOWERS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878 |
Administrator’s telephone number |
4016248462 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
FIDELITY DEFINED CONTRIBUTION RETIREMENT PLAN AND TRUST
|
2009
|
050387975
|
2010-07-20
|
RUSS TOWERS INSURANCE AGENCY, INC.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720104457P030386374497004.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4016248462 |
Plan sponsor’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878 |
Plan administrator’s name and address
Administrator’s EIN |
050387975 |
Plan administrator’s name |
RUSS TOWERS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
167 MAIN ROAD, TIVERTON, RI, 02878 |
Administrator’s telephone number |
4016248462 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
DONNA LEMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|