BEAVER STREET FISHERIES INC VISION PLAN
|
2023
|
590737364
|
2024-07-27
|
BEAVER STREET FISHERIES INC
|
226
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
2013-01-01
|
Business code |
424400
|
Sponsor’s telephone number |
9043548533
|
Plan sponsor’s mailing address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC VOLUNTARY SHORT TERM DISABILITY PLAN
|
2023
|
590737364
|
2024-07-27
|
BEAVER STREET FISHERIES INC
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
513
|
Effective date of plan |
2015-01-01
|
Business code |
424400
|
Sponsor’s telephone number |
9043548533
|
Plan sponsor’s mailing address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC VOLUNTARY DENTAL PLAN
|
2023
|
590737364
|
2024-07-27
|
BEAVER STREET FISHERIES INC
|
157
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2004-04-01
|
Business code |
424400
|
Sponsor’s telephone number |
9043548533
|
Plan sponsor’s mailing address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC GROUP LIFE PLAN
|
2023
|
590737364
|
2024-07-27
|
BEAVER STREET FISHERIES INC
|
222
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1959-12-31
|
Business code |
424400
|
Sponsor’s telephone number |
9043548533
|
Plan sponsor’s mailing address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC GROUP MEDICAL PLAN
|
2023
|
590737364
|
2024-07-29
|
BEAVER STREET FISHERIES INC
|
181
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1959-12-31
|
Business code |
424400
|
Sponsor’s telephone number |
9043548533
|
Plan sponsor’s mailing address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-29 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC LONG TERM DISABILITY PLAN
|
2023
|
590737364
|
2024-07-29
|
BEAVER STREET FISHERIES INC
|
223
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
2012-10-01
|
Business code |
424400
|
Sponsor’s telephone number |
9043548533
|
Plan sponsor’s mailing address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 W BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-29 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC GROUP LIFE PLAN
|
2022
|
590737364
|
2023-07-27
|
BEAVER STREET FISHERIES INC
|
217
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1959-12-31
|
Business code |
424400
|
Sponsor’s telephone number |
9043545661
|
Plan sponsor’s mailing address |
1741 WEST BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 WEST BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC LONG TERM DISABILITY PLAN
|
2022
|
590737364
|
2023-07-27
|
BEAVER STREET FISHERIES INC
|
214
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
2012-10-01
|
Business code |
424400
|
Sponsor’s telephone number |
9043548533
|
Plan sponsor’s mailing address |
1741 W BEAVER ST, JACKSONVILLE, FL, 322097526
|
Plan sponsor’s
address |
1741 W BEAVER ST, JACKSONVILLE, FL, 322097526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC GROUP MEDICAL PLAN
|
2022
|
590737364
|
2023-07-27
|
BEAVER STREET FISHERIES INC
|
176
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1959-12-31
|
Business code |
424400
|
Sponsor’s telephone number |
9043545661
|
Plan sponsor’s mailing address |
1741 W BEAVER ST, JACKSONVILLE, FL, 322097526
|
Plan sponsor’s
address |
1741 W BEAVER ST, JACKSONVILLE, FL, 322097526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEAVER STREET FISHERIES INC VOLUNTARY DENTAL PLAN
|
2022
|
590737364
|
2023-07-27
|
BEAVER STREET FISHERIES INC
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2004-04-01
|
Business code |
424400
|
Sponsor’s telephone number |
9043545661
|
Plan sponsor’s mailing address |
1741 WEST BEAVER STREET, JACKSONVILLE, FL, 32209
|
Plan sponsor’s
address |
1741 WEST BEAVER STREET, JACKSONVILLE, FL, 32209
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-27 |
Name of individual signing |
MICHAEL GVOZDICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|