ATLANTIC INSURANCE, INC SAFE HARBOR 401(K) PLAN
|
2013
|
060939827
|
2014-10-29
|
ATLANTIC INSURANCE, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8604473354
|
Plan sponsor’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 06385
|
Signature of
Role |
Plan administrator |
Date |
2014-10-29 |
Name of individual signing |
ROGER H. EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATLANTIC INSURANCE, INC SAFE HARBOR 401(K) PLAN
|
2013
|
060939827
|
2014-04-28
|
ATLANTIC INSURANCE, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8604473354
|
Plan sponsor’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 06385
|
Signature of
Role |
Plan administrator |
Date |
2014-04-28 |
Name of individual signing |
ROGER EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATLANTIC INSURANCE, INC SAFE HARBOR 401(K) PLAN
|
2012
|
060939827
|
2013-05-25
|
ATLANTIC INSURANCE, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8604473354
|
Plan sponsor’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 06385
|
Signature of
Role |
Plan administrator |
Date |
2013-05-25 |
Name of individual signing |
ROGER H. EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATLANTIC INSURANCE, INC SAFE HARBOR 401(K) PLAN
|
2011
|
060939827
|
2012-05-06
|
ATLANTIC INSURANCE, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8604473354
|
Plan sponsor’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
060939827 |
Plan administrator’s name |
ATLANTIC INSURANCE, INC |
Plan administrator’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8604473354 |
Signature of
Role |
Plan administrator |
Date |
2012-05-06 |
Name of individual signing |
ROGER H. EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATLANTIC INSURANCE, INC SAFE HARBOR 401(K) PLAN
|
2010
|
060939827
|
2011-04-08
|
ATLANTIC INSURANCE, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8604473354
|
Plan sponsor’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 06385
|
Plan administrator’s name and address
Administrator’s EIN |
060939827 |
Plan administrator’s name |
ATLANTIC INSURANCE, INC |
Plan administrator’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 06385 |
Administrator’s telephone number |
8604473354 |
Signature of
Role |
Plan administrator |
Date |
2011-04-08 |
Name of individual signing |
ROGER H. EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATLANTIC INSURANCE, INC SAFE HARBOR 401(K) PLAN
|
2009
|
060939827
|
2010-06-29
|
ATLANTIC INSURANCE, INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8604473354
|
Plan sponsor’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 063850000
|
Plan administrator’s name and address
Administrator’s EIN |
060939827 |
Plan administrator’s name |
ATLANTIC INSURANCE, INC |
Plan administrator’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 063850000 |
Administrator’s telephone number |
8604473354 |
Signature of
Role |
Plan administrator |
Date |
2010-06-29 |
Name of individual signing |
ROGER H. EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATLANTIC INSURANCE, INC SAFE HARBOR 401(K) PLAN
|
2009
|
060939827
|
2010-07-18
|
ATLANTIC INSURANCE, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8604473354
|
Plan sponsor’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 063850000
|
Plan administrator’s name and address
Administrator’s EIN |
060939827 |
Plan administrator’s name |
ATLANTIC INSURANCE, INC |
Plan administrator’s
address |
163 BOSTON POST ROAD, WATERFORD, CT, 063850000 |
Administrator’s telephone number |
8604473354 |
Signature of
Role |
Plan administrator |
Date |
2010-06-29 |
Name of individual signing |
ROGER H. EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|