MACKENZIE INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
113546378
|
2021-02-18
|
MACKENZIE INSURANCE AGENCY INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655800
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY RD, SAINT JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2021-02-18 |
Name of individual signing |
LAWRENCE DARCEY |
|
|
MACKENZIE INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
113546378
|
2020-04-21
|
MACKENZIE INSURANCE AGENCY INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655800
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY RD, SAINT JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2020-04-21 |
Name of individual signing |
LAWRENCE DARCEY |
|
|
MACKENZIE INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
113546378
|
2019-03-15
|
MACKENZIE INSURANCE AGENCY INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655800
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY RD, SAINT JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2019-03-15 |
Name of individual signing |
LAWRENCE DARCEY |
|
|
MACKENZIE INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
113546378
|
2018-03-29
|
MACKENZIE INSURANCE AGENCY INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655800
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY RD, SAINT JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2018-03-29 |
Name of individual signing |
LAWRENCE DARCEY |
|
|
MACKENZIE INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
113546378
|
2017-06-15
|
MACKENZIE INSURANCE AGENCY INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655800
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY RD, SAINT JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2017-06-15 |
Name of individual signing |
LAWRENCE DARCEY |
|
|
MACKENZIE INSURANCE AGENCY, INC. PENSION PLAN
|
2015
|
113546378
|
2016-09-07
|
MACKENZIE INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-05-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655803
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY RD., ST. JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
DONALD MACKENZIE |
|
|
MACKENZIE INSURANCE AGENCY, INC. PENSION PLAN
|
2014
|
113546378
|
2015-09-11
|
MACKENZIE INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-05-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655803
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY RD., ST. JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
DONALD MACKENZIE |
|
|
MACKENZIE INSURANCE AGENCY INC. PENSION PLAN
|
2013
|
113546378
|
2014-05-27
|
MACKENZIE INSURANCE AGENCY INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-05-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655803
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY ROAD, ST. JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
DONALD K. MACKENZIE |
|
Role |
Employer/plan sponsor |
Date |
2014-05-27 |
Name of individual signing |
DONALD K. MACKENZIE |
|
|
MACKENZIE INSURANCE AGENCY INC. PENSION PLAN
|
2012
|
113546378
|
2013-05-31
|
MACKENZIE INSURANCE AGENCY INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-05-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655803
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY ROAD, ST. JAMES, NY, 11780
|
Signature of
Role |
Plan administrator |
Date |
2013-05-31 |
Name of individual signing |
DONALD K. MACKENZIE |
|
Role |
Employer/plan sponsor |
Date |
2013-05-31 |
Name of individual signing |
DONALD K. MACKENZIE |
|
|
MACKENZIE INSURANCE AGENCY INC. PENSION PLAN
|
2011
|
113546378
|
2012-07-10
|
MACKENZIE INSURANCE AGENCY INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-05-01
|
Business code |
524210
|
Sponsor’s telephone number |
6312655803
|
Plan sponsor’s
address |
872 MIDDLE COUNTRY ROAD, ST. JAMES, NY, 11780
|
Plan administrator’s name and address
Administrator’s EIN |
113546378 |
Plan administrator’s name |
MACKENZIE INSURANCE AGENCY INC. |
Plan administrator’s
address |
872 MIDDLE COUNTRY ROAD, ST. JAMES, NY, 11780 |
Administrator’s telephone number |
6312655803 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
DONALD K. MACKENZIE |
|
Role |
Employer/plan sponsor |
Date |
2012-07-10 |
Name of individual signing |
DONALD K. MACKENZIE |
|
|