HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2023
|
591970179
|
2024-11-04
|
HAGAN ACE HARDWARE OF BLANDING
|
183
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Number of participants as of the end of the plan year
Active participants |
284 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-11-04 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2022
|
591970179
|
2023-11-03
|
HAGAN ACE HARDWARE OF BLANDING
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Number of participants as of the end of the plan year
Active participants |
183 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-11-03 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2021
|
591970179
|
2022-11-01
|
HAGAN ACE HARDWARE OF BLANDING
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-11-01 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-11-01 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2020
|
591970179
|
2021-08-30
|
HAGAN ACE HARDWARE OF BLANDING
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 32065
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-08-30 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-30 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2019
|
591970179
|
2020-11-30
|
HAGAN ACE HARDWARE OF BLANDING
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-11-30 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-30 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2018
|
591970179
|
2019-09-06
|
HAGAN ACE HARDWARE OF BLANDING
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Number of participants as of the end of the plan year
Active participants |
126 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2019-09-06 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2017
|
591970179
|
2018-08-31
|
HAGAN ACE HARDWARE OF BLANDING
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Number of participants as of the end of the plan year
Active participants |
134 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
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 |
2018-08-31 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGAN ACE HARDWARE HEALTH AND WELFARE BENEFITS PLAN
|
2016
|
591970179
|
2017-08-29
|
HAGAN ACE HARDWARE OF BLANDING
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-02-01
|
Business code |
444130
|
Sponsor’s telephone number |
9047730011
|
Plan sponsor’s mailing address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan sponsor’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702
|
Plan administrator’s name and address
Administrator’s EIN |
591970179 |
Plan administrator’s name |
HAGAN ACE HARDWARE OF BLANDING |
Plan administrator’s
address |
1022 BLANDING BLVD, ORANGE PARK, FL, 320656702 |
Administrator’s telephone number |
9047730011 |
Number of participants as of the end of the plan year
Active participants |
123 |
Retired or separated participants receiving
benefits |
22 |
Signature of
Role |
Plan administrator |
Date |
2017-08-29 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-29 |
Name of individual signing |
GEORGE RUCKERSFELDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|