RETIREMENT HEALTHCARE REIMBURSEMENT PLAN FOR THE REPRESENTED FIRE SERVICE PERSONNEL OF THE CAPE CANAVERAL AIR FORCE STATION
|
2013
|
590940269
|
2014-01-30
|
G4S GOVERNMENT SOLUTIONS, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2008-10-01
|
Business code |
561900
|
Sponsor’s telephone number |
5614723643
|
Plan sponsor’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418
|
Plan administrator’s name and address
Administrator’s EIN |
590940269 |
Plan administrator’s name |
RETIREE HEALTHCARE COMMITTEE |
Plan administrator’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418 |
Administrator’s telephone number |
5614723642 |
Signature of
Role |
Plan administrator |
Date |
2014-01-30 |
Name of individual signing |
MICHAEL GOODWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-30 |
Name of individual signing |
LEE MCINTYRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT HEALTHCARE REIMBURSEMENT PLAN FOR THE REPRESENTED FIRE SERVICE PERSONNEL OF THE CAPE CANAVERAL AIR FORCE STATION
|
2012
|
590940269
|
2013-10-17
|
G4S GOVERNMENT SOLUTIONS, INC.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2008-10-01
|
Business code |
561900
|
Sponsor’s telephone number |
5614723643
|
Plan sponsor’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418
|
Plan administrator’s name and address
Administrator’s EIN |
590940269 |
Plan administrator’s name |
RETIREE HEALTHCARE COMMITTEE |
Plan administrator’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418 |
Administrator’s telephone number |
5614723642 |
Signature of
Role |
Plan administrator |
Date |
2013-10-17 |
Name of individual signing |
MICHAEL GOODWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-17 |
Name of individual signing |
LEE MCINTYRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT HEALTHCARE REIMBURSEMENT PLAN FOR THE REPRESENTED FIRE SERVICE PERSONNEL OF THE CAPE CANAVERAL AIR FORCE STATION
|
2011
|
590940269
|
2012-10-19
|
G4S GOVERNMENT SOLUTIONS, INC.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2008-10-01
|
Business code |
561900
|
Sponsor’s telephone number |
5614723643
|
Plan sponsor’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418
|
Plan administrator’s name and address
Administrator’s EIN |
590940269 |
Plan administrator’s name |
RETIREE HEALTHCARE COMMITTEE |
Plan administrator’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418 |
Administrator’s telephone number |
5614723642 |
Signature of
Role |
Plan administrator |
Date |
2012-10-19 |
Name of individual signing |
GAIL FEUSTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-19 |
Name of individual signing |
LEE MCINTYRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT HEALTHCARE REIMBURSEMENT PLAN FOR THE REPRESENTED FIRE SERVICE PERSONNEL OF THE CAPE CANAVERAL AIR FORCE STATION
|
2010
|
590940269
|
2011-10-11
|
G4S GOVERNMENT SOLUTIONS, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2008-10-01
|
Business code |
561900
|
Sponsor’s telephone number |
5614723643
|
Plan sponsor’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418
|
Plan administrator’s name and address
Administrator’s EIN |
590940269 |
Plan administrator’s name |
RETIREE HEALTHCARE COMMITTEE |
Plan administrator’s
address |
7121 FAIRWAY DRIVE, SUITE 301, PALM BEACH GARDENS, FL, 33418 |
Administrator’s telephone number |
5614723642 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
GAIL FEUSTEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-05 |
Name of individual signing |
MARCIA ALDRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|