EYEMED VISION CARE
|
2022
|
591627018
|
2024-04-16
|
MOTCO, INC.
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2011-11-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-04-16 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOTCO, INC.
|
2022
|
591627018
|
2024-04-16
|
MOTCO, INC.
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-04-16 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOTCO, INC.
|
2022
|
591627018
|
2024-04-16
|
MOTCO, INC.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-04-16 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE COMPANY OF NORTH AMERICA
|
2022
|
591627018
|
2024-04-16
|
MOTCO, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-04-16 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE COMPANY OF NORTH AMERICA
|
2022
|
591627018
|
2024-04-16
|
MOTCO, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-04-16 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE COMPANY OF NORTH AMERICA
|
2022
|
591627018
|
2024-04-16
|
MOTCO, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2015-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-04-16 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE COMPANY OF NORTH AMERICA
|
2022
|
591627018
|
2024-04-16
|
MOTCO, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2015-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3305913933
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-04-16 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-16 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOTCO, INC.
|
2021
|
591627018
|
2023-04-20
|
MOTCO, INC.
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-04-19 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-18 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYEMED VISION CARE
|
2021
|
591627018
|
2023-04-20
|
MOTCO, INC.
|
177
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2011-11-01
|
Business code |
424800
|
Sponsor’s telephone number |
3055913993
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-04-19 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-18 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE COMPANY OF NORTH AMERICA
|
2021
|
591627018
|
2023-04-20
|
MOTCO, INC.
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2015-10-01
|
Business code |
424800
|
Sponsor’s telephone number |
3305913933
|
Plan sponsor’s mailing address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Plan sponsor’s
address |
10900 NW 27TH ST, DORAL, FL, 331725024
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-04-19 |
Name of individual signing |
VICTORIA HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-18 |
Name of individual signing |
JOSUE LOPEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|