|
INNOVATIVE INSURANCE 401(K) PLAN
|
2023
|
271699506
|
2024-05-03
|
INNOVATIVE INSURANCE SERVICES LLC
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524455767
|
| Plan sponsor’s
address |
8091 OLD CARRIAGE CT, SHAKOPEE, MN, 55379
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-03 |
| Name of individual signing |
SCOTT GAUGHRAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE 401(K) PLAN
|
2022
|
271699506
|
2023-06-07
|
INNOVATIVE INSURANCE SERVICES LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524455767
|
| Plan sponsor’s
address |
8091 OLD CARRIAGE CT, SHAKOPEE, MN, 55379
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-07 |
| Name of individual signing |
SCOTT GAUGHRAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE 401(K) PLAN
|
2021
|
271699506
|
2022-08-02
|
INNOVATIVE INSURANCE SERVICES LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524455767
|
| Plan sponsor’s
address |
8091 OLD CARRIAGE CT, SHAKOPEE, MN, 55379
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-02 |
| Name of individual signing |
SCOTT GAUGHRAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE 401(K) PLAN
|
2020
|
271699506
|
2021-07-22
|
INNOVATIVE INSURANCE SERVICES LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524455767
|
| Plan sponsor’s
address |
8091 OLD CARRIAGE CT, SHAKOPEE, MN, 55379
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-22 |
| Name of individual signing |
SCOTT GAUGHRAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE 401(K) PLAN
|
2019
|
271699506
|
2020-08-10
|
INNOVATIVE INSURANCE SERVICES LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524455767
|
| Plan sponsor’s
address |
8091 OLD CARRIAGE CT, SHAKOPEE, MN, 55379
|
Signature of
| Role |
Plan administrator |
| Date |
2020-08-10 |
| Name of individual signing |
SCOTT GAUGHRAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE 401(K) PLAN
|
2018
|
271699506
|
2019-06-24
|
INNOVATIVE INSURANCE SERVICES LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524455767
|
| Plan sponsor’s
address |
8001 OLD CARRIAGE CT N., STE B, SHAKOPEE, MN, 55379
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-24 |
| Name of individual signing |
SCOTT GAUGHRAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE 401(K) PLAN
|
2017
|
271699506
|
2018-07-03
|
INNOVATIVE INSURANCE SERVICES LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524455767
|
| Plan sponsor’s
address |
8001 OLD CARRIAGE CT N., STE B, SHAKOPEE, MN, 55379
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-03 |
| Name of individual signing |
SCOTT GAUGHRAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
