PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2023
|
205703123
|
2024-04-26
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
7
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2024-04-26 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2022
|
205703123
|
2023-06-05
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2023-06-05 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2021
|
205703123
|
2022-05-20
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2022-05-20 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2020
|
205703123
|
2021-04-28
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2019
|
205703123
|
2020-06-14
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2020-06-14 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2018
|
205703123
|
2019-05-14
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2019-05-14 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2017
|
205703123
|
2018-05-18
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2018-05-18 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN
|
2016
|
205703123
|
2017-05-18
|
PETER M. KELLY INSURANCE AGENCY, INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2017-05-18 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC. 401(K) PLAN
|
2015
|
205703123
|
2016-05-19
|
PETER M. KELLY INSURANCE AGENCY, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2016-05-19 |
Name of individual signing |
PETER KELLY |
|
|
PETER M. KELLY INSURANCE AGENCY, INC. 401(K) PLAN
|
2014
|
205703123
|
2015-01-29
|
PETER M. KELLY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5165995400
|
Plan sponsor’s
address |
349 MERRICK RD., LYNBROOK, NY, 11563
|
Signature of
Role |
Plan administrator |
Date |
2015-01-29 |
Name of individual signing |
PETER KELLY |
|
Role |
Employer/plan sponsor |
Date |
2015-01-29 |
Name of individual signing |
PETER KELLY |
|
|