THE GEORGE BERRY AGENCY, INC. DEFINED BENEFIT PLAN
|
2012
|
134097584
|
2013-10-14
|
THE GEORGE BERRY AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. SALARY SAVINGS PLAN
|
2010
|
134097584
|
2011-05-27
|
THE GEORGE BERRY AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097584 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2011-05-27 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2011-05-27 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. SALARY SAVINGS PLAN
|
2010
|
134097484
|
2011-05-23
|
THE GEORGE BERRY AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097484 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2011-05-23 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2011-05-23 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. DEFINED BENEFIT PLAN
|
2010
|
134097584
|
2011-05-23
|
THE GEORGE BERRY AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097584 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2011-05-23 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2011-05-23 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. SALARY SAVINGS PLAN
|
2009
|
134097484
|
2010-08-30
|
THE GEORGE BERRY AGENCY, INC.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097484 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. DEFINED BENEFIT PLAN
|
2009
|
134097584
|
2010-09-03
|
THE GEORGE BERRY AGENCY, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097584 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2010-09-03 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2010-09-03 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. SALARY SAVINGS PLAN
|
2009
|
134097484
|
2010-08-30
|
THE GEORGE BERRY AGENCY, INC.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097484 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. SALARY SAVINGS PLAN
|
2009
|
134097484
|
2010-08-27
|
THE GEORGE BERRY AGENCY, INC.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097484 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. SALARY SAVINGS PLAN
|
2009
|
134097484
|
2010-08-27
|
THE GEORGE BERRY AGENCY, INC.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097484 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
|
THE GEORGE BERRY AGENCY, INC. SALARY SAVINGS PLAN
|
2009
|
134097484
|
2010-08-30
|
THE GEORGE BERRY AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9142637630
|
Plan sponsor’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984
|
Plan administrator’s name and address
Administrator’s EIN |
134097484 |
Plan administrator’s name |
THE GEORGE BERRY AGENCY, INC. |
Plan administrator’s
address |
62 RIVERGLEN DRIVE, THIELLS, NY, 10984 |
Administrator’s telephone number |
9142637630 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
Role |
Employer/plan sponsor |
Date |
2010-08-26 |
Name of individual signing |
GEORGE BERRY |
|
|