GOLD SHIELD 401(K) AND PROFIT SHARING PLAN
|
2012
|
363885952
|
2013-02-11
|
IZZO INSURANCE SERVICES, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084521700
|
Plan sponsor’s
address |
7234 W NORTH AVE, ELMWOOD PARK, IL, 607074239
|
Signature of
Role |
Plan administrator |
Date |
2013-02-11 |
Name of individual signing |
KAREN IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-11 |
Name of individual signing |
KAREN IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD SHIELD 401(K) AND PROFIT SHARING PLAN
|
2011
|
363885952
|
2012-01-25
|
IZZO INSURANCE SERVICES, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084521700
|
Plan sponsor’s
address |
7234 W NORTH AVE, ELMWOOD PARK, IL, 607074239
|
Plan administrator’s name and address
Administrator’s EIN |
363885952 |
Plan administrator’s name |
IZZO INSURANCE SERVICES, INC. |
Plan administrator’s
address |
7234 W NORTH AVE, ELMWOOD PARK, IL, 607074239 |
Administrator’s telephone number |
7084521700 |
Signature of
Role |
Plan administrator |
Date |
2012-01-25 |
Name of individual signing |
KAREN IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-25 |
Name of individual signing |
KAREN IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD SHIELD 401(K) AND PROFIT SHARING PLAN
|
2010
|
363885952
|
2011-06-21
|
IZZO INSURANCE SERVICES, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084521700
|
Plan sponsor’s
address |
7234 W NORTH AVE, ELMWOOD PARK, IL, 607074239
|
Plan administrator’s name and address
Administrator’s EIN |
363885952 |
Plan administrator’s name |
IZZO INSURANCE SERVICES, INC. |
Plan administrator’s
address |
7234 W NORTH AVE, ELMWOOD PARK, IL, 607074239 |
Administrator’s telephone number |
7084521700 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
KAREN IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-21 |
Name of individual signing |
KAREN IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD SHIELD 401(K) AND PROFIT SHARING PLAN
|
2009
|
363885952
|
2010-04-14
|
IZZO INSURANCE SERVICES, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084521700
|
Plan sponsor’s
address |
7234 W NORTH AVE, ELMWOOD PARK, IL, 607074239
|
Plan administrator’s name and address
Administrator’s EIN |
363885952 |
Plan administrator’s name |
IZZO INSURANCE SERVICES, INC. |
Plan administrator’s
address |
7234 W NORTH AVE, ELMWOOD PARK, IL, 607074239 |
Administrator’s telephone number |
7084521700 |
Signature of
Role |
Plan administrator |
Date |
2010-03-29 |
Name of individual signing |
KAREN J. IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-29 |
Name of individual signing |
KAREN J. IZZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|