|
BEASLEY INSURANCE AGENCY LLC 401(K) PLAN
|
2012
|
841243527
|
2013-05-24
|
BEASLEY INSURANCE AGENCY LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3037795301
|
| Plan sponsor’s mailing address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
| Plan sponsor’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
841243527 |
| Plan administrator’s name |
BEASLEY INSURANCE AGENCY LLC |
| Plan administrator’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112 |
| Administrator’s telephone number |
3037795301 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| 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 |
2013-05-24 |
| Name of individual signing |
JANETTE BEASLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-05-24 |
| Name of individual signing |
JANETTE BEASLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEASLEY INSURANCE AGENCY LLC 401(K) PLAN
|
2011
|
841243527
|
2012-05-08
|
BEASLEY INSURANCE AGENCY LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3037795301
|
| Plan sponsor’s mailing address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
| Plan sponsor’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
841243527 |
| Plan administrator’s name |
BEASLEY INSURANCE AGENCY LLC |
| Plan administrator’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112 |
| Administrator’s telephone number |
3037795301 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| 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 |
2012-05-08 |
| Name of individual signing |
JANETTE BEASLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEASLEY INSURANCE AGENCY LLC 401(K) PLAN
|
2010
|
841243527
|
2011-04-27
|
BEASLEY INSURANCE AGENCY LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3035957716
|
| Plan sponsor’s mailing address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
| Plan sponsor’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
841243527 |
| Plan administrator’s name |
BEASLEY INSURANCE AGENCY LLC |
| Plan administrator’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112 |
| Administrator’s telephone number |
3035957716 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| 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 |
2011-04-27 |
| Name of individual signing |
JANETTE BEASLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEASLEY INSURANCE AGENCY LLC 401(K) PLAN
|
2009
|
841243527
|
2010-05-07
|
BEASLEY INSURANCE AGENCY LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3035957716
|
| Plan sponsor’s mailing address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
| Plan sponsor’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
841243527 |
| Plan administrator’s name |
BEASLEY INSURANCE AGENCY LLC |
| Plan administrator’s
address |
7004 S. OLIVE STREET, CENTENNIAL, CO, 80112 |
| Administrator’s telephone number |
3035957716 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
3 |
| 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 |
2010-05-07 |
| Name of individual signing |
JANETTE BEASLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
