BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
112485383
|
2017-05-31
|
BRISCOE PROTECTIVE
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6316482737
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720
|
Signature of
Role |
Plan administrator |
Date |
2017-05-31 |
Name of individual signing |
JENNIFER ROERTGEN |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
112485383
|
2016-06-30
|
BRISCOE PROTECTIVE
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6316482737
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720
|
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
JENNIFER ROERTGEN |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
112485383
|
2015-07-22
|
BRISCOE PROTECTIVE
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 117202276
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
MARGARET ECKEL |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
112485383
|
2014-06-09
|
BRISCOE PROTECTIVE
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 117202276
|
Signature of
Role |
Plan administrator |
Date |
2014-06-09 |
Name of individual signing |
MARGARET ECKEL |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
112485383
|
2013-06-10
|
BRISCOE PROTECTIVE
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 117202276
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
MARGARET ECKEL |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
112485383
|
2012-06-19
|
BRISCOE PROTECTIVE
|
31
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720
|
Plan administrator’s name and address
Administrator’s EIN |
112485383 |
Plan administrator’s name |
BRISCOE PROTECTIVE |
Plan administrator’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720 |
Administrator’s telephone number |
6318648666 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
MARGARET ECKEL |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
112485383
|
2012-06-22
|
BRISCOE PROTECTIVE
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720
|
Plan administrator’s name and address
Administrator’s EIN |
112485383 |
Plan administrator’s name |
BRISCOE PROTECTIVE |
Plan administrator’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720 |
Administrator’s telephone number |
6318648666 |
Signature of
Role |
Plan administrator |
Date |
2012-06-22 |
Name of individual signing |
MARGARET ECKEL |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
112485383
|
2012-06-21
|
BRISCOE PROTECTIVE
|
31
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720
|
Plan administrator’s name and address
Administrator’s EIN |
112485383 |
Plan administrator’s name |
BRISCOE PROTECTIVE |
Plan administrator’s
address |
99 MARK TREE ROAD, SUITE 201, CENTEREACH, NY, 11720 |
Administrator’s telephone number |
6318648666 |
Signature of
Role |
Plan administrator |
Date |
2012-06-21 |
Name of individual signing |
MARGARET ECKEL |
|
|
BRISCOE PROTECTIVE 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
112485383
|
2011-07-08
|
BRISCOE PROTECTIVE
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
561790
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE ROAD SUITE 201, CENTEREACH, NY, 11720
|
Plan administrator’s name and address
Administrator’s EIN |
112485383 |
Plan administrator’s name |
BRISCOE PROTECTIVE |
Plan administrator’s
address |
99 MARK TREE ROAD SUITE 201, CENTEREACH, NY, 11720 |
Administrator’s telephone number |
6318648666 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
JANET WILSON |
|
|
BRISCOE PROTECTIVE
|
2009
|
112485383
|
2010-07-16
|
BRISCOE PROTECTIVE
|
30
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6318648666
|
Plan sponsor’s
address |
99 MARK TREE RD STE 201, CENTEREACH, NY, 117202276
|
Plan administrator’s name and address
Administrator’s EIN |
112485383 |
Plan administrator’s name |
BRISCOE PROTECTIVE |
Plan administrator’s
address |
99 MARK TREE RD STE 201, CENTEREACH, NY, 117202276 |
Administrator’s telephone number |
6318648666 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
BRISCOE PROTECTIVE |
|
|