HANUSCHAK INSURANCE 401(K) PLAN
|
2023
|
050418089
|
2024-07-23
|
HANUSCHAK INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2024-07-23 |
Name of individual signing |
CHAD CARROLL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2022
|
050418089
|
2023-04-03
|
HANUSCHAK INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2023-04-03 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2021
|
050418089
|
2022-07-12
|
HANUSCHAK INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2020
|
050418089
|
2021-06-18
|
HANUSCHAK INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2021-06-18 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2019
|
050418089
|
2020-05-05
|
HANUSCHAK INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2020-05-05 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2018
|
050418089
|
2019-07-30
|
HANUSCHAK INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
PO BOX 7727, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2017
|
050418089
|
2018-07-16
|
HANUSCHAK INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2016
|
050418089
|
2017-06-26
|
HANUSCHAK INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2017-06-26 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2015
|
050418089
|
2016-05-16
|
HANUSCHAK INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2016-05-16 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2014
|
050418089
|
2015-05-01
|
HANUSCHAK INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4016584444
|
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864
|
Signature of
Role |
Plan administrator |
Date |
2015-05-01 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2013
|
050418089
|
2014-06-06
|
HANUSCHAK INSURANCE AGENCY, INC.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/06/20140606101419P040381021795001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2012-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4016584444 |
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864 |
Signature of
Role |
Plan administrator |
Date |
2014-06-06 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HANUSCHAK INSURANCE 401(K) PLAN
|
2012
|
050418089
|
2013-10-14
|
HANUSCHAK INSURANCE AGENCY, INC.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014075845P040036677091001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2012-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4016584444 |
Plan sponsor’s
address |
3288 MENDON ROAD, CUMBERLAND, RI, 02864 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
SUSAN HANUSCHAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|