DARK INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
630578202
|
2013-10-14
|
DARK INSURANCE AGENCY, INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
2562345026
|
Plan sponsor’s mailing address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan administrator’s name and address
Administrator’s EIN |
630578202 |
Plan administrator’s name |
DARK INSURANCE AGENCY, INC |
Plan administrator’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010 |
Administrator’s telephone number |
2562345026 |
Number of participants as of the end of the plan year
Active participants |
7 |
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 |
6 |
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 |
2013-10-14 |
Name of individual signing |
SUSAN HAMLETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
SUSAN HAMLETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DARK INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
630578202
|
2012-09-24
|
DARK INSURANCE AGENCY, INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
2562345026
|
Plan sponsor’s mailing address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan administrator’s name and address
Administrator’s EIN |
630578202 |
Plan administrator’s name |
DARK INSURANCE AGENCY, INC |
Plan administrator’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010 |
Administrator’s telephone number |
2562345026 |
Number of participants as of the end of the plan year
Active participants |
7 |
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 |
7 |
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 |
2012-09-24 |
Name of individual signing |
SUSAN HAMLETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DARK INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
630578202
|
2011-10-12
|
DARK INSURANCE AGENCY, INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
2562345026
|
Plan sponsor’s mailing address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan administrator’s name and address
Administrator’s EIN |
630578202 |
Plan administrator’s name |
DARK INSURANCE AGENCY, INC |
Plan administrator’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010 |
Administrator’s telephone number |
2562345026 |
Number of participants as of the end of the plan year
Active participants |
7 |
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 |
7 |
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 |
2011-10-12 |
Name of individual signing |
SUSAN HAMLETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DARK INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
630578202
|
2010-07-30
|
DARK INSURANCE AGENCY, INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
2562345026
|
Plan sponsor’s mailing address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010
|
Plan administrator’s name and address
Administrator’s EIN |
630578202 |
Plan administrator’s name |
DARK INSURANCE AGENCY, INC |
Plan administrator’s
address |
410 HILLABEE STREET, ALEXANDER CITY, AL, 35010 |
Administrator’s telephone number |
2562345026 |
Number of participants as of the end of the plan year
Active participants |
7 |
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 |
7 |
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 |
2010-07-30 |
Name of individual signing |
JOHN DARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|