HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
060385475
|
2024-09-18
|
HATFIELD INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
ROSS HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-18 |
Name of individual signing |
HATFIELD INSURANCE AGENCY INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
060385475
|
2023-09-19
|
HATFIELD INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2023-09-19 |
Name of individual signing |
ROSS HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
060385475
|
2022-09-14
|
HATFIELD INSURANCE AGENCY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2022-09-14 |
Name of individual signing |
ROSS HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
060385475
|
2021-08-31
|
HATFIELD INSURANCE AGENCY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2021-08-31 |
Name of individual signing |
ROSS HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
060385475
|
2020-09-17
|
HATFIELD INSURANCE AGENCY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2020-09-17 |
Name of individual signing |
ROSS HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-17 |
Name of individual signing |
ROSS HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
060385475
|
2019-09-24
|
HATFIELD INSURANCE AGENCY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2019-09-24 |
Name of individual signing |
ROSS W. HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
060385475
|
2018-09-19
|
HATFIELD INSURANCE AGENCY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2018-09-19 |
Name of individual signing |
ROSS W. HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
060385475
|
2017-11-29
|
HATFIELD INSURANCE AGENCY
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2017-11-28 |
Name of individual signing |
ROSS W. HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
060385475
|
2016-10-21
|
HATFIELD INSURANCE AGENCY
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2016-10-21 |
Name of individual signing |
ROSS W. HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-21 |
Name of individual signing |
GUY C. HATFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HATFIELD INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
060385475
|
2015-12-17
|
HATFIELD INSURANCE AGENCY
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-06-01
|
Business code |
524140
|
Sponsor’s telephone number |
2032565660
|
Plan sponsor’s
address |
1735 POST ROAD UNIT 5, FAIRFIELD, CT, 06824
|
Signature of
Role |
Plan administrator |
Date |
2015-12-17 |
Name of individual signing |
LISA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|