MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC 401(K) PLAN AND TRUST
|
2015
|
472532916
|
2016-12-01
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708263467
|
Plan sponsor’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81626
|
Signature of
Role |
Plan administrator |
Date |
2016-12-01 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES,LLC 401(K) PLAN AND TRUST
|
2015
|
472532916
|
2016-10-11
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708263467
|
Plan sponsor’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES,LLC 401(K) PLAN AND TRUST
|
2014
|
472532916
|
2015-10-14
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708263467
|
Plan sponsor’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES,LLC 401(K) PLAN AND TRUST
|
2013
|
522364820
|
2014-08-29
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708263467
|
Plan sponsor’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625
|
Signature of
Role |
Plan administrator |
Date |
2014-08-29 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES,LLC 401(K) PLAN AND TRUST
|
2012
|
522364820
|
2013-06-24
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708263467
|
Plan sponsor’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625
|
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES,LLC 401(K) PLAN AND TRUST
|
2011
|
522364820
|
2012-07-23
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708263467
|
Plan sponsor’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625
|
Plan administrator’s name and address
Administrator’s EIN |
522364820 |
Plan administrator’s name |
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC |
Plan administrator’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625 |
Administrator’s telephone number |
9708263467 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC 401(K) PLAN AND TRUST
|
2010
|
522364820
|
2011-08-31
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708263467
|
Plan sponsor’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625
|
Plan administrator’s name and address
Administrator’s EIN |
522364820 |
Plan administrator’s name |
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC |
Plan administrator’s
address |
100 E. VICTORY WAY, CRAIG, CO, 81625 |
Administrator’s telephone number |
9708263467 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC 401(K) PLAN AND TRUST
|
2009
|
522364820
|
2010-09-14
|
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9708700830
|
Plan sponsor’s
address |
1475 PINE GROVE ROAD, SUITE 108, STEAMBOAT SPRINGS, CO, 80487
|
Plan administrator’s name and address
Administrator’s EIN |
522364820 |
Plan administrator’s name |
MOUNTAIN WEST INSURANCE & FINANCIAL SERVICES, LLC |
Plan administrator’s
address |
1475 PINE GROVE ROAD, SUITE 108, STEAMBOAT SPRINGS, CO, 80487 |
Administrator’s telephone number |
9708700830 |
Signature of
Role |
Plan administrator |
Date |
2010-09-14 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-14 |
Name of individual signing |
DARRELL CAMILLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|