|
THE ULTIMATE AGENCY, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
201146623
|
2011-08-19
|
THE ULTIMATE AGENCY, LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5162273344
|
| Plan sponsor’s
address |
400 GARDEN CITY PLAZA, SUITE 420, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
| Administrator’s EIN |
201146623 |
| Plan administrator’s name |
THE ULTIMATE AGENCY, LLC |
| Plan administrator’s
address |
400 GARDEN CITY PLAZA, SUITE 420, GARDEN CITY, NY, 11530 |
| Administrator’s telephone number |
5162273344 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-19 |
| Name of individual signing |
CARY SCOTT GOLDINGER |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-19 |
| Name of individual signing |
CARY SCOTT GOLDINGER |
|
|
|
THE ULTIMATE AGENCY, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
201146623
|
2011-08-19
|
THE ULTIMATE AGENCY, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5162273344
|
| Plan sponsor’s
address |
400 GARDEN CITY PLAZA, SUITE 420, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
| Administrator’s EIN |
201146623 |
| Plan administrator’s name |
THE ULTIMATE AGENCY, LLC |
| Plan administrator’s
address |
400 GARDEN CITY PLAZA, SUITE 420, GARDEN CITY, NY, 11530 |
| Administrator’s telephone number |
5162273344 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-19 |
| Name of individual signing |
CARY SCOTT GOLDINGER |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-19 |
| Name of individual signing |
CARY SCOTT GOLDINGER |
|
|
|
THE ULTIMATE AGENCY, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
201146623
|
2010-09-02
|
THE ULTIMATE AGENCY, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5162273344
|
| Plan sponsor’s mailing address |
400 GARDEN CITY PLAZA, SUITE 420, GARDEN CITY, NY, 11530
|
| Plan sponsor’s
address |
THE ULTIMATE AGENCY, LLC, 400 GARDEN CITY PLAZA SUITE 420, GARDEN CITY, NY, 11530
|
Plan administrator’s name and address
| Administrator’s EIN |
201146623 |
| Plan administrator’s name |
THE ULTIMATE AGENCY, LLC |
| Plan administrator’s
address |
400 GARDEN CITY PLAZA, SUITE 420, GARDEN CITY, NY, 11530 |
| Administrator’s telephone number |
5162273344 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-02 |
| Name of individual signing |
CARY SCOTT GOLDINGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-02 |
| Name of individual signing |
CARY SCOTT GOLDINGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
