DAWSON INSURANCE AGENCY, INC. PROFIT SHARING 401(K) PLAN
|
2013
|
362762514
|
2014-09-05
|
DAWSON INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
8476585644
|
Plan sponsor’s
address |
P.O. BOX 38, ALGONQUIN, IL, 601020038
|
Plan administrator’s name and address
Administrator’s EIN |
362762514 |
Plan administrator’s name |
DAWSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
P.O. BOX 200 NORTH HARRISON, ALGONQUIN, IL, 601020038 |
Administrator’s telephone number |
8476585644 |
Signature of
Role |
Plan administrator |
Date |
2014-09-05 |
Name of individual signing |
JAMES DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWSON INSURANCE AGENCY, INC. PROFIT SHARING 401(K) PLAN
|
2013
|
362762514
|
2014-09-03
|
DAWSON INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
8476585644
|
Plan sponsor’s
address |
P.O. BOX 38, ALGONQUIN, IL, 601020038
|
Plan administrator’s name and address
Administrator’s EIN |
362762514 |
Plan administrator’s name |
DAWSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
200 NORTH HARRISON, ALGONQUIN, IL, 601020038 |
Administrator’s telephone number |
8476585644 |
Signature of
Role |
Plan administrator |
Date |
2014-09-03 |
Name of individual signing |
JAMES DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWSON INSURANCE AGENCY, INC. PROFIT SHARING 401(K) PLAN
|
2012
|
362762514
|
2013-09-26
|
DAWSON INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
8476585644
|
Plan sponsor’s
address |
P.O. BOX 38, ALGONQUIN, IL, 601020038
|
Plan administrator’s name and address
Administrator’s EIN |
362762514 |
Plan administrator’s name |
DAWSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
200 NORTH HARRISON, ALGONQUIN, IL, 601020038 |
Administrator’s telephone number |
8476585644 |
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
JAMES DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWSON INSURANCE AGENCY, INC. PROFIT SHARING 401(K) PLAN
|
2011
|
362762514
|
2012-11-08
|
DAWSON INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
8476585644
|
Plan sponsor’s
address |
P.O. BOX 38, ALGONQUIN, IL, 601020038
|
Plan administrator’s name and address
Administrator’s EIN |
362762514 |
Plan administrator’s name |
DAWSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
200 NORTH HARRISON, ALGONQUIN, IL, 601020038 |
Administrator’s telephone number |
8476585644 |
Signature of
Role |
Plan administrator |
Date |
2012-11-08 |
Name of individual signing |
JAMES DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWSON INSURANCE AGENCY, INC. PROFIT SHARING 401(K) PLAN
|
2010
|
362762514
|
2011-12-22
|
DAWSON INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
8476585644
|
Plan sponsor’s
address |
P.O. BOX 38, ALGONQUIN, IL, 601020038
|
Plan administrator’s name and address
Administrator’s EIN |
362762514 |
Plan administrator’s name |
DAWSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
200 NORTH HARRISON, ALGONQUIN, IL, 601020038 |
Administrator’s telephone number |
8476585644 |
Signature of
Role |
Plan administrator |
Date |
2011-12-22 |
Name of individual signing |
JAMES DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAWSON INSURANCE AGENCY, INC. PROFIT SHARING 401(K) PLAN
|
2009
|
362762514
|
2010-11-05
|
DAWSON INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
8476585644
|
Plan sponsor’s
address |
P.O. BOX 38, ALGONQUIN, IL, 601020038
|
Plan administrator’s name and address
Administrator’s EIN |
362762514 |
Plan administrator’s name |
DAWSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
200 NORTH HARRISON, ALGONQUIN, IL, 601020038 |
Administrator’s telephone number |
8476585644 |
Signature of
Role |
Plan administrator |
Date |
2010-11-05 |
Name of individual signing |
JAMES DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|