|
HORSEWORKS INSURANCE SPECIALISTS LLC 401K
|
2023
|
463154814
|
2024-09-09
|
HORSEWORKS INSURANCE SPECIALISTS, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5084940763
|
| Plan sponsor’s
address |
31 WELLS RD, GRANBY, CT, 06035
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-09 |
| Name of individual signing |
BRENDAN D TETREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-09-09 |
| Name of individual signing |
BRENDAN D TETREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HORSEWORKS INSURANCE SPECIALISTS, LLC 401(K) P/S PLAN
|
2022
|
463154814
|
2023-03-13
|
HORSEWORKS INSURANCE SPECIALISTS, LLC
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5084940763
|
| Plan sponsor’s
address |
6 RICKWOOD LN, GRANBY, CT, 06035
|
Plan administrator’s name and address
| Administrator’s EIN |
463154814 |
| Plan administrator’s name |
HORSEWORKS INSURANCE SPECIALISTS, LLC |
| Plan administrator’s
address |
6 RICKWOOD LN, GRANBY, CT, 06035 |
| Administrator’s telephone number |
5084940763 |
Signature of
| Role |
Plan administrator |
| Date |
2023-03-13 |
| Name of individual signing |
BRENDAN TETREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HORSEWORKS INSURANCE SPECIALISTS, LLC 401(K) P/S PLAN
|
2022
|
463154814
|
2023-04-19
|
HORSEWORKS INSURANCE SPECIALISTS, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5084940763
|
| Plan sponsor’s
address |
6 RICKWOOD LN, GRANBY, CT, 06035
|
Plan administrator’s name and address
| Administrator’s EIN |
463154814 |
| Plan administrator’s name |
HORSEWORKS INSURANCE SPECIALISTS, LLC |
| Plan administrator’s
address |
6 RICKWOOD LN, GRANBY, CT, 06035 |
| Administrator’s telephone number |
5084940763 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-19 |
| Name of individual signing |
BRENDAN TETREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HORSEWORKS INSURANCE SPECIALISTS, LLC 401(K) P/S PLAN
|
2021
|
463154814
|
2022-03-04
|
HORSEWORKS INSURANCE SPECIALISTS, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5084940763
|
| Plan sponsor’s
address |
6 RICKWOOD LN, GRANBY, CT, 06035
|
Plan administrator’s name and address
| Administrator’s EIN |
463154814 |
| Plan administrator’s name |
HORSEWORKS INSURANCE SPECIALISTS, LLC |
| Plan administrator’s
address |
6 RICKWOOD LN, GRANBY, CT, 06035 |
| Administrator’s telephone number |
5084940763 |
Signature of
| Role |
Plan administrator |
| Date |
2022-03-04 |
| Name of individual signing |
BRENDAN TETREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
