ELLIOTT INSURANCE GROUP 401K PLAN
|
2013
|
061347325
|
2014-10-15
|
ELLIOTT INSURANCE GROUP
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8602760055
|
Plan sponsor’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061347325 |
Plan administrator’s name |
ELLIOTT INSURANGE GROUP |
Plan administrator’s
address |
176 LANING ST, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8602760055 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DINO T CARBONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELLIOTT INSURANCE GROUP 401K PLAN
|
2013
|
061347325
|
2014-10-13
|
ELLIOTT INSURANCE GROUP
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8602760055
|
Plan sponsor’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061347325 |
Plan administrator’s name |
ELLIOTT INSURANCE GROUP |
Plan administrator’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8602760055 |
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
DINO T CARBONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELLIOTT INSURANCE GROUP 401K PLAN
|
2012
|
061347325
|
2013-10-15
|
ELLIOTT INSURANCE GROUP
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8602760055
|
Plan sponsor’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061347325 |
Plan administrator’s name |
ELLIOTT INSURANCE GROUP |
Plan administrator’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8602760055 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
DINO T CARBONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELLIOTT INSURANCE GROUP 401K PLAN
|
2011
|
061347325
|
2012-10-15
|
ELLIOTT INSURANCE GROUP
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8602760055
|
Plan sponsor’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061347325 |
Plan administrator’s name |
ELLIOTT INSURANCE GROUP |
Plan administrator’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8602760055 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DINO T CARBONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELLIOTT INSURANCE GROUP 401K PLAN
|
2010
|
061347325
|
2011-07-18
|
ELLIOTT INSURANCE GROUP
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8602760055
|
Plan sponsor’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061347325 |
Plan administrator’s name |
ELLIOTT INSURANCE GROUP |
Plan administrator’s
address |
176 LANING STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8602760055 |
Signature of
Role |
Plan administrator |
Date |
2011-07-18 |
Name of individual signing |
BOB SINAGRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELLIOTT INSURANCE GROUP 401K PLAN
|
2009
|
061347325
|
2010-08-05
|
ELLIOTT INSURANCE GROUP
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8602760055
|
Plan sponsor’s
address |
876 SOUTH MAIN STREET, PLANTSVILLE, CT, 06479
|
Plan administrator’s name and address
Administrator’s EIN |
061347325 |
Plan administrator’s name |
ELLIOTT INSURANCE GROUP |
Plan administrator’s
address |
876 SOUTH MAIN STREET, PLANTSVILLE, CT, 06479 |
Administrator’s telephone number |
8602760055 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
DINO T. CARBONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-30 |
Name of individual signing |
DINO T. CARBONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|