AUSTIN DOMSCH STATE FARM 401(K) PLAN
|
2023
|
263905072
|
2024-04-22
|
AUSTIN DOMSCH INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3033210895
|
Plan sponsor’s
address |
11653 E LAKE PL, ENGLEWOOD, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2024-04-22 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-22 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN DOMSCH STATE FARM 401(K) PLAN
|
2022
|
263905072
|
2023-05-01
|
AUSTIN DOMSCH INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3033210895
|
Plan sponsor’s
address |
11653 E LAKE PL, ENGLEWOOD, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2023-05-01 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN DOMSCH STATE FARM 401(K) PLAN
|
2021
|
263905072
|
2022-05-23
|
AUSTIN DOMSCH INSURANCE AGENCY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3033210895
|
Plan sponsor’s
address |
11653 E LAKE PL, ENGLEWOOD, CO, 80111
|
Signature of
Role |
Plan administrator |
Date |
2022-05-23 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-23 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN DOMSCH STATE FARM 401(K) PLAN
|
2020
|
263905072
|
2021-04-28
|
AUSTIN DOMSCH INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3033210895
|
Plan sponsor’s
address |
400 S. COLORADO BLVD., SUITE 890, DENVER, CO, 80246
|
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN DOMSCH STATE FARM 401(K) PLAN
|
2019
|
263905072
|
2020-05-22
|
AUSTIN DOMSCH INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3033210895
|
Plan sponsor’s
address |
400 S. COLORADO BLVD., SUITE 890, DENVER, CO, 80246
|
Signature of
Role |
Plan administrator |
Date |
2020-05-22 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-22 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN DOMSCH STATE FARM 401(K) PLAN
|
2018
|
263905072
|
2019-05-15
|
AUSTIN DOMSCH INSURANCE AGENCY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3033210895
|
Plan sponsor’s
address |
400 S. COLORADO BLVD., SUITE 890, DENVER, CO, 80246
|
Signature of
Role |
Plan administrator |
Date |
2019-05-15 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN DOMSCH STATE FARM 401(K) PLAN
|
2017
|
263905072
|
2018-05-22
|
AUSTIN DOMSCH INSURANCE AGENCY
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3033210895
|
Plan sponsor’s
address |
400 S. COLORADO BLVD., SUITE 890, DENVER, CO, 80246
|
Signature of
Role |
Plan administrator |
Date |
2018-05-22 |
Name of individual signing |
AUSTIN DOMSCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|