BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2023
|
591509019
|
2024-12-24
|
HERD ENTERPRISES, INC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-12-24 |
Name of individual signing |
CHRISTINE STUBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-12-24 |
Name of individual signing |
CHRISTINE STUBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERD ENTERPRISES, INC. RETIREMENT & SAVINGS PLAN
|
2023
|
591509019
|
2024-08-16
|
HERD ENTERPRISES, INC.
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-05-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan sponsor’s
address |
3500 NORTH 28TH TERRACE, HOLLYWOOD, FL, 33020
|
Signature of
Role |
Plan administrator |
Date |
2024-08-16 |
Name of individual signing |
CHRISTINE STUBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2022
|
591509019
|
2023-12-13
|
HERD ENTERPRISES, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-12-13 |
Name of individual signing |
CHRISTINE STUBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-12-13 |
Name of individual signing |
CHRISTINE STUBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2021
|
591509019
|
2022-12-15
|
HERD ENTERPRISES, INC
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-12-15 |
Name of individual signing |
CHRISTINE STUBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-12-15 |
Name of individual signing |
CHRISTINE STUBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2020
|
591509019
|
2021-12-21
|
HERD ENTERPRISES, INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-12-21 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2019
|
591509019
|
2020-12-10
|
HERD ENTERPRISES, INC
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-12-10 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-12-10 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2018
|
591509019
|
2019-11-18
|
HERD ENTERPRISES, INC
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9959209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Active participants |
80 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-11-18 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-11-18 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2017
|
591509019
|
2018-11-12
|
HERD ENTERPRISES INC.
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Active participants |
87 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-11-12 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-12 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2015
|
591509019
|
2016-12-08
|
HERD ENTERPRISES, INC
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACORY SERVICE
|
Plan sponsor’s mailing address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Plan sponsor’s
address |
3500 N 28TH TER, HOLLYWOOD, FL, 330201104
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-12-08 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-12-08 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD FACTORY SERVICE HEALTH INSURANCE PLAN
|
2014
|
591509019
|
2015-12-09
|
HERD ENTERPRISES, INC
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-01-01
|
Business code |
811410
|
Sponsor’s telephone number |
9549209774
|
Plan
sponsor’s DBA name |
BROWARD FACTORY SERVICE
|
Plan sponsor’s mailing address |
3500 N. 28TH TERRACE, HOLLYWOOD, FL, 33020
|
Plan sponsor’s
address |
3500 N. 28TH TERRACE, HOLLYWOOD, FL, 33020
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-12-09 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-12-09 |
Name of individual signing |
CLEIDE SALLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|