MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLAN
|
2018
|
201634325
|
2019-04-26
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7194760104
|
Plan sponsor’s
address |
1773 S 8TH STREET, SUITE 200, COLORADO SPRINGS, CO, 80905
|
Signature of
Role |
Plan administrator |
Date |
2019-04-26 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-26 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLAN
|
2017
|
201634325
|
2018-05-01
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7194760104
|
Plan sponsor’s
address |
1773 S 8TH STREET, SUITE 200, COLORADO SPRINGS, CO, 80905
|
Signature of
Role |
Plan administrator |
Date |
2018-05-01 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-01 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLAN
|
2016
|
201634325
|
2017-04-25
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7194760104
|
Plan sponsor’s
address |
1773 S 8TH STREET, SUITE 200, COLORADO SPRINGS, CO, 80905
|
Signature of
Role |
Plan administrator |
Date |
2017-04-25 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-25 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLAN
|
2015
|
201634325
|
2016-06-14
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7194760104
|
Plan sponsor’s
address |
1773 S 8TH STREET, SUITE 200, COLORADO SPRINGS, CO, 80905
|
Signature of
Role |
Plan administrator |
Date |
2016-06-14 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-14 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLA
|
2014
|
201634325
|
2015-04-21
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7194760104
|
Plan sponsor’s
address |
1773 S 8TH STREET, SUITE 200, COLORADO SPRINGS, CO, 80905
|
Signature of
Role |
Plan administrator |
Date |
2015-04-21 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-21 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLA
|
2013
|
201634325
|
2014-04-09
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7195317000
|
Plan sponsor’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903
|
Signature of
Role |
Plan administrator |
Date |
2014-04-09 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-09 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLA
|
2012
|
201634325
|
2013-06-10
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7195317000
|
Plan sponsor’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLA
|
2011
|
201634325
|
2012-04-10
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7195317000
|
Plan sponsor’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903
|
Plan administrator’s name and address
Administrator’s EIN |
201634325 |
Plan administrator’s name |
MARTIN BURLINGAME INSURANCE AGENCY, |
Plan administrator’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903 |
Administrator’s telephone number |
7195317000 |
Signature of
Role |
Plan administrator |
Date |
2012-04-10 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-10 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLA
|
2011
|
201634325
|
2012-04-19
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7195317000
|
Plan sponsor’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903
|
Plan administrator’s name and address
Administrator’s EIN |
201634325 |
Plan administrator’s name |
MARTIN BURLINGAME INSURANCE AGENCY, |
Plan administrator’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903 |
Administrator’s telephone number |
7195317000 |
Signature of
Role |
Plan administrator |
Date |
2012-04-19 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-19 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN BURLINGAME INSURANCE AGENCY, INC. 401K PLA
|
2011
|
201634325
|
2012-04-19
|
MARTIN BURLINGAME INSURANCE AGENCY,
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7195317000
|
Plan sponsor’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903
|
Plan administrator’s name and address
Administrator’s EIN |
201634325 |
Plan administrator’s name |
MARTIN BURLINGAME INSURANCE AGENCY, |
Plan administrator’s
address |
602 S. TEJON, COLORADO SPRINGS, CO, 80903 |
Administrator’s telephone number |
7195317000 |
Signature of
Role |
Plan administrator |
Date |
2012-04-10 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-10 |
Name of individual signing |
MARTIN BURLINGAME |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|