BURGETT & ROBBINS, LLP 401(K) PLAN
|
2023
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205200991
|
2024-10-05
|
BURGETT & ROBBINS, LLP
|
1
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|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
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Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
69 E. FAIRMOUNT AVE., LAKEWOOD, NY, 14750
|
Signature of
Role |
Plan administrator |
Date |
2024-10-05 |
Name of individual signing |
DALE ROBBINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2020
|
205200991
|
2021-06-24
|
BURGETT & ROBBINS, LLP
|
6
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|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
517 W FIFTH ST SUITE 1, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2021-06-24 |
Name of individual signing |
DALE ROBBINS |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2019
|
205200991
|
2020-11-17
|
BURGETT & ROBBINS, LLP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
517 W FIFTH ST, SUITE 1, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2020-11-17 |
Name of individual signing |
DALE ROBBINS |
|
Role |
Employer/plan sponsor |
Date |
2020-11-17 |
Name of individual signing |
DALE ROBBINS |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2019
|
205200991
|
2020-11-16
|
BURGETT & ROBBINS, LLP
|
15
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
517 W FIFTH ST, SUITE 1, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2020-11-16 |
Name of individual signing |
DALE ROBBINS |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2018
|
205200991
|
2019-07-23
|
BURGETT & ROBBINS, LLP
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
15 E FIFTH ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
LOIS SHORT |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2017
|
205200991
|
2018-10-05
|
BURGETT & ROBBINS, LLP
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
15 E FIFTH ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2018-10-05 |
Name of individual signing |
LOIS SHORT |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2016
|
205200991
|
2017-07-06
|
BURGETT & ROBBINS, LLP
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
15 E FIFTH ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2017-07-06 |
Name of individual signing |
LOIS SHORT |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2015
|
205200991
|
2016-06-15
|
BURGETT & ROBBINS, LLP
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
15 E FIFTH ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2016-06-15 |
Name of individual signing |
LOIS SHORT |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2014
|
205200991
|
2015-06-25
|
BURGETT & ROBBINS, LLP
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
15 E FIFTH ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2015-06-25 |
Name of individual signing |
LOIS SHORT |
|
|
BURGETT & ROBBINS, LLP 401(K) PLAN
|
2013
|
205200991
|
2014-06-13
|
BURGETT & ROBBINS, LLP
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7164883090
|
Plan sponsor’s
address |
15 E FIFTH ST, JAMESTOWN, NY, 14701
|
Signature of
Role |
Plan administrator |
Date |
2014-06-13 |
Name of individual signing |
LOIS SHORT |
|
|