|
HARRIS-DEAN INSURANCE PROFIT SHARING PLAN
|
2011
|
820357476
|
2012-07-26
|
FRED A. HARRIS AGENCY, INC.
|
24
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
2086679406
|
| Plan sponsor’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816
|
Plan administrator’s name and address
| Administrator’s EIN |
820357476 |
| Plan administrator’s name |
FRED A. HARRIS AGENCY, INC. |
| Plan administrator’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816 |
| Administrator’s telephone number |
2086679406 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-26 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-26 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRIS-DEAN INSURANCE PROFIT SHARING PLAN
|
2011
|
820357476
|
2012-07-26
|
FRED A. HARRIS AGENCY, INC.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
2086679406
|
| Plan sponsor’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816
|
Plan administrator’s name and address
| Administrator’s EIN |
820357476 |
| Plan administrator’s name |
FRED A. HARRIS AGENCY, INC. |
| Plan administrator’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816 |
| Administrator’s telephone number |
2086679406 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-26 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-26 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRIS-DEAN INSURANCE PROFIT SHARING PLAN
|
2010
|
820357476
|
2011-09-13
|
FRED A. HARRIS AGENCY, INC.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
2086679406
|
| Plan sponsor’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816
|
Plan administrator’s name and address
| Administrator’s EIN |
820357476 |
| Plan administrator’s name |
FRED A. HARRIS AGENCY, INC. |
| Plan administrator’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816 |
| Administrator’s telephone number |
2086679406 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-13 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-13 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRIS-DEAN INSURANCE PROFIT SHARING PLAN
|
2009
|
820357476
|
2010-09-23
|
FRED A. HARRIS AGENCY, INC.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
2086679406
|
| Plan sponsor’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816
|
Plan administrator’s name and address
| Administrator’s EIN |
820357476 |
| Plan administrator’s name |
FRED A. HARRIS AGENCY, INC. |
| Plan administrator’s
address |
P.O. BOX 430, COEUR D ALENE, ID, 83816 |
| Administrator’s telephone number |
2086679406 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-23 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-23 |
| Name of individual signing |
FRED HARRIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
