GARY L. ROBERTS, P.A. 401(K)PLAN
|
2015
|
640662080
|
2016-06-09
|
GARY L. ROBERTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2287627104
|
Plan sponsor’s
address |
1034 JACKSON AVENUE, P.O. BOX 237, PASCAGOULA, MS, 39567
|
Signature of
Role |
Plan administrator |
Date |
2016-06-08 |
Name of individual signing |
GARY L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GARY L. ROBERTS, P.A. 401(K)PLAN
|
2014
|
640662080
|
2015-09-11
|
GARY L. ROBERTS, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2287627104
|
Plan sponsor’s
address |
1034 JACKSON AVENUE, P.O. BOX 237, PASCAGOULA, MS, 39567
|
Signature of
Role |
Plan administrator |
Date |
2015-09-10 |
Name of individual signing |
GARY L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GARY L. ROBERTS, P.A. 401(K)PLAN
|
2013
|
640662080
|
2014-07-03
|
GARY L. ROBERTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2287627104
|
Plan sponsor’s
address |
1034 JACKSON AVENUE, P.O. BOX 237, PASCAGOULA, MS, 39567
|
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
GARY L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GARY L. ROBERTS, P.A. 401(K) PLAN
|
2012
|
640662080
|
2013-07-15
|
GARY L. ROBERTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
2287627104
|
Plan sponsor’s
address |
P. O. BOX 237, PASCAGOULA, MS, 395680237
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
GARY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
GARY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GARY L. ROBERTS, P.A. 401(K) PLAN
|
2011
|
640662080
|
2012-09-21
|
GARY L. ROBERTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
2287627104
|
Plan sponsor’s
address |
P O BOX 237, PASCAGOULA, MS, 39568
|
Plan administrator’s name and address
Administrator’s EIN |
640662080 |
Plan administrator’s name |
GARY L. ROBERTS, P.A. |
Plan administrator’s
address |
P O BOX 237, PASCAGOULA, MS, 39568 |
Administrator’s telephone number |
2287627104 |
Signature of
Role |
Plan administrator |
Date |
2012-09-21 |
Name of individual signing |
GARY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GARY L. ROBERTS, P.A., PROFIT SHARING PLAN
|
2010
|
640662080
|
2011-10-03
|
GARY L. ROBERTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
2287627104
|
Plan sponsor’s
address |
P. O. BOX 237, PASCAGOULA, MS, 395680237
|
Plan administrator’s name and address
Administrator’s EIN |
640662080 |
Plan administrator’s name |
GARY L. ROBERTS, P.A. |
Plan administrator’s
address |
P. O. BOX 237, PASCAGOULA, MS, 395680237 |
Administrator’s telephone number |
2287627104 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
GARY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-03 |
Name of individual signing |
GARY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GARY L. ROBERTS, P.A., PROFIT SHARING PLAN
|
2009
|
640662080
|
2010-10-01
|
GARY L. ROBERTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
2287627104
|
Plan sponsor’s
address |
P. O. BOX 237, PASCAGOULA, MS, 395680237
|
Plan administrator’s name and address
Administrator’s EIN |
640662080 |
Plan administrator’s name |
GARY L. ROBERTS, P.A. |
Plan administrator’s
address |
P. O. BOX 237, PASCAGOULA, MS, 395680237 |
Administrator’s telephone number |
2287627104 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
GARY ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|