PROIOS INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN AND T
|
2023
|
111818865
|
2024-09-05
|
PROIOS INSURANCE AGENCY INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, SUITE B, PORT JEFFERSON STATI, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2024-09-05 |
Name of individual signing |
SHIRLEY HORNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROIOS INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN AND T
|
2022
|
111818865
|
2023-06-29
|
PROIOS INSURANCE AGENCY INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, SUITE B, PORT JEFFERSON STATI, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2023-06-29 |
Name of individual signing |
SHIRLEY HORNER |
|
|
PROIOS INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
111818865
|
2022-07-14
|
PROIOS INSURANCE AGENCY INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
ANASTASIA HACKETT |
|
|
PROIOS INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
111818865
|
2021-06-17
|
PROIOS INSURANCE AGENCY INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2021-06-17 |
Name of individual signing |
ANASTASIA HACKETT |
|
|
PROIOS INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
111818865
|
2020-07-15
|
PROIOS INSURANCE AGENCY INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
ANASTASIA HACKETT |
|
|
PROIOS INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
111818865
|
2019-06-14
|
PROIOS INSURANCE AGENCY INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2019-06-14 |
Name of individual signing |
ANASTASIA HACKETT |
|
|
PROIOS INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
111818865
|
2018-07-10
|
PROIOS INSURANCE AGENCY INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
ANASTASIA HACKETT |
|
|
PROIOS INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
111818865
|
2017-06-28
|
PROIOS INSURANCE AGENCY INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
ANASTASIA HACKETT |
|
|
PROIOS INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
111818865
|
2016-07-27
|
PROIOS INSURANCE AGENCY INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
ANASTASIA HACKETT |
|
|
PROIOS INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
111818865
|
2015-07-15
|
PROIOS INSURANCE AGENCY INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6314739200
|
Plan sponsor’s
address |
18 ROOSEVELT AVE, STE B, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
ANASTASIA HACKETT |
|
|