BURKHARDT SALES & SERVICE HEALTH & WELFARE PLAN
|
2021
|
591268710
|
2023-01-27
|
BURKHARDT DISTRIBUTING COMPANY, INC.
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
9048293008
|
Plan sponsor’s mailing address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Plan sponsor’s
address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Number of participants as of the end of the plan year
Active participants |
144 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2023-01-27 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-01-27 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURKHARDT SALES & SERVICE HEALTH & WELFARE PLAN
|
2020
|
591268710
|
2022-01-17
|
BURKHARDT DISTRIBUTING COMPANY, INC.
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-07-02
|
Business code |
424800
|
Sponsor’s telephone number |
9048293008
|
Plan sponsor’s mailing address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Plan sponsor’s
address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2022-01-17 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-01-17 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURKHARDT SALES & SERVICE HEALTH & WELFARE PLAN
|
2019
|
591268710
|
2021-01-05
|
BURKHARDT DISTRIBUTING COMPANY, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-07-02
|
Business code |
424800
|
Sponsor’s telephone number |
9048293008
|
Plan sponsor’s mailing address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Plan sponsor’s
address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2021-01-05 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-05 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURKHARDT SALES & SERVICE HEALTH & WELFARE PLAN
|
2018
|
591268710
|
2020-01-31
|
BURKHARDT DISTRIBUTING COMPANY, INC.
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
9048293008
|
Plan sponsor’s mailing address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Plan sponsor’s
address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Plan administrator’s name and address
Administrator’s EIN |
591268710 |
Plan administrator’s name |
BURKHARDT DISTRIBUTING COMPANY, INC. |
Plan administrator’s
address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534 |
Administrator’s telephone number |
9048293008 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-01-30 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-30 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURKHARDT SALES & SERVICE HEALTH & WELFARE PLAN
|
2017
|
591268710
|
2019-01-22
|
BURKHARDT DISTRIBUTING COMPANY, INC.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
9048293008
|
Plan sponsor’s mailing address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Plan sponsor’s
address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-01-21 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-01-21 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURKHARDT SALES & SERVICE HEALTH & WELFARE PLAN
|
2016
|
591268710
|
2018-01-19
|
BURKHARDT DISTRIBUTING COMPANY, INC.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-07-01
|
Business code |
424800
|
Sponsor’s telephone number |
9048293008
|
Plan sponsor’s mailing address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Plan sponsor’s
address |
3935 INMAN RD, ST AUGUSTINE, FL, 320840534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-01-19 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-19 |
Name of individual signing |
T BROOKES BURKHARDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|