TRI-TOWN AGENCY, INC SAFE HARBOR 401(K) PLAN
|
2014
|
160963357
|
2015-07-10
|
TRI-TOWN AGENCY, INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6076871381
|
Plan sponsor’s
address |
192 FRONT STREET, P.O. BOX 417, OWEGO, NY, 13827
|
Signature of
Role |
Plan administrator |
Date |
2015-07-06 |
Name of individual signing |
KAY S. POULTON |
|
Role |
Employer/plan sponsor |
Date |
2015-07-06 |
Name of individual signing |
KAY S. POULTON |
|
|
TRI-TOWN AGENCY, INC SAFE HARBOR 401(K) PLAN
|
2013
|
160963357
|
2014-06-27
|
TRI-TOWN AGENCY, INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6076871381
|
Plan sponsor’s
address |
192 FRONT STREET, P.O. BOX 417, OWEGO, NY, 13827
|
Signature of
Role |
Plan administrator |
Date |
2014-06-27 |
Name of individual signing |
KAY S. POULTON |
|
|
TRI TOWN AGENCY, INC SAFE HARBOR 401(K) PLAN
|
2012
|
160963357
|
2013-07-10
|
TRI TOWN AGENCY, INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6076871381
|
Plan sponsor’s
address |
192 FRONT STREET, P.O. BOX 417, OWEGO, NY, 13827
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
KAY S. POULTON |
|
|
TRI TOWN AGENCY, INC SAFE HARBOR 401(K) PLAN
|
2011
|
160963357
|
2012-08-30
|
TRI TOWN AGENCY, INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6076871381
|
Plan sponsor’s
address |
192 FRONT STREET, P.O. BOX 417, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
160963357 |
Plan administrator’s name |
TRI TOWN AGENCY, INC |
Plan administrator’s
address |
192 FRONT STREET, P.O. BOX 417, OWEGO, NY, 13827 |
Administrator’s telephone number |
6076871381 |
Signature of
Role |
Plan administrator |
Date |
2012-08-30 |
Name of individual signing |
KAY S POULTON |
|
|
TRI TOWN AGENCY, INC SAFE HARBOR 401(K) PLAN
|
2010
|
160963357
|
2011-09-30
|
TRI TOWN AGENCY, INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6076871381
|
Plan sponsor’s
address |
192 FRONT STREET, P.O. BOX 417, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
160963357 |
Plan administrator’s name |
TRI TOWN AGENCY, INC |
Plan administrator’s
address |
192 FRONT STREET, P.O. BOX 417, OWEGO, NY, 13827 |
Administrator’s telephone number |
6076871381 |
Signature of
Role |
Plan administrator |
Date |
2011-09-30 |
Name of individual signing |
KAY POULTON |
|
Role |
Employer/plan sponsor |
Date |
2011-09-30 |
Name of individual signing |
KAY POULTON |
|
|
TRI TOWN AGENCY, INC SAFE HARBOR 401(K) PLAN
|
2009
|
160963357
|
2010-07-22
|
TRI TOWN AGENCY, INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6076871381
|
Plan sponsor’s
address |
192 FRONT STREET P.O. BOX 417, OWEGO, NY, 13827
|
Plan administrator’s name and address
Administrator’s EIN |
160963357 |
Plan administrator’s name |
TRI TOWN AGENCY, INC |
Plan administrator’s
address |
192 FRONT STREET P.O. BOX 417, OWEGO, NY, 13827 |
Administrator’s telephone number |
6076871381 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
KAY POULTON |
|
|