WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2023
|
050316252
|
2024-06-17
|
WOODMANSEE INSURANCE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2024-06-17 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2022
|
050316252
|
2023-07-12
|
WOODMANSEE INSURANCE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2023-07-12 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2021
|
050316252
|
2022-07-20
|
WOODMANSEE INSURANCE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2022-07-20 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2020
|
050316252
|
2021-05-24
|
WOODMANSEE INSURANCE INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2021-05-24 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2019
|
050316252
|
2020-07-09
|
WOODMANSEE INSURANCE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2018
|
050316252
|
2019-05-08
|
WOODMANSEE INSURANCE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2019-05-08 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2017
|
050316252
|
2018-05-21
|
WOODMANSEE INSURANCE INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2018-05-21 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2016
|
050316252
|
2017-06-27
|
WOODMANSEE INSURANCE INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2015
|
050316252
|
2016-06-30
|
WOODMANSEE INSURANCE INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2014
|
050316252
|
2015-07-15
|
WOODMANSEE INSURANCE INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015397000
|
Plan sponsor’s
address |
1122 MAIN STREET, PO BOX 246, WYOMING, RI, 028980246
|
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2013
|
050316252
|
2014-07-10
|
WOODMANSEE INSURANCE,INC.
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/10/20140710145237P030013340685001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015397000 |
Plan sponsor’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2012
|
050316252
|
2013-06-26
|
WOODMANSEE INSURANCE,INC.
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/26/20130626135715P040276389923001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015397000 |
Plan sponsor’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2013-06-26 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2011
|
050316252
|
2012-06-05
|
WOODMANSEE INSURANCE,INC.
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/05/20120605144745P040093613088001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015397000 |
Plan sponsor’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-05 |
Name of individual signing |
DAVID A WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2010
|
050316252
|
2011-06-10
|
WOODMANSEE INSURANCE,INC.
|
14
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/10/20110610141849P030073739441001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015397000 |
Plan sponsor’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
DAVID A. WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-10 |
Name of individual signing |
DAVID A. WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WOODMANSEE INSURANCE,INC. 401(K)/PROFIT SHARING PLAN
|
2009
|
050316252
|
2010-08-23
|
WOODMANSEE INSURANCE,INC.
|
14
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/23/20100823111435P030452904289001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015397000 |
Plan sponsor’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Plan administrator’s name and address
Administrator’s EIN |
050316252 |
Plan administrator’s name |
WOODMANSEE INSURANCE,INC. |
Plan administrator’s
address |
1122 MAIN STREET, P.O. BOX 246, WYOMING, RI, 028980246 |
Administrator’s telephone number |
4015397000 |
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
DAVID A. WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-23 |
Name of individual signing |
DAVID A. WOODMANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|