DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
113461253
|
2024-10-08
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6315094000
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
STEPHANIE TEREBETSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
113461253
|
2023-10-12
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6315094000
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
MARYBETH HUDSON |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
113461253
|
2022-10-04
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6315094000
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2022-10-04 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
113461253
|
2021-10-08
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6315094000
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2021-10-08 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
113461253
|
2020-10-13
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6315094000
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
113461253
|
2019-09-25
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6315094000
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
113461253
|
2018-05-31
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6318979300
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2018-05-31 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
113461253
|
2017-07-14
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6318979300
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2017-07-14 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
113461253
|
2016-06-22
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6318979300
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|
DIVERSIFIED STRATEGIES AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
113461253
|
2015-06-01
|
DIVERSIFIED STRATEGIES AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
6318979300
|
Plan sponsor’s
address |
14 ROOSEVELT AVENUE, PORT JEFFERSON STATION, NY, 11776
|
Signature of
Role |
Plan administrator |
Date |
2015-06-01 |
Name of individual signing |
JOSEPH TEREBETSKI |
|
|