|
THE ANDRUS AGENCY LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
821356419
|
2019-04-08
|
ANDRUS AGENCY LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
2034300148
|
| Plan sponsor’s
address |
530 MAIN RD, TIVERTON, RI, 02878
|
Plan administrator’s name and address
| Administrator’s EIN |
264477125 |
| Plan administrator’s name |
401K GENERATION |
| Plan administrator’s
address |
195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 327462644 |
| Administrator’s telephone number |
8669985879 |
Signature of
| Role |
Plan administrator |
| Date |
2019-04-08 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE ANDRUS AGENCY LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
821356419
|
2018-04-11
|
ANDRUS AGENCY LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
4016242990
|
| Plan sponsor’s
address |
530 MAIN RD, TIVERTON, RI, 02878
|
Signature of
| Role |
Plan administrator |
| Date |
2018-04-11 |
| Name of individual signing |
TIMOTHY ANDRUS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
