THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2023
|
590637814
|
2024-10-30
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-30 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-30 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2022
|
590637814
|
2023-10-10
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-10 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2021
|
590637814
|
2022-08-26
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-26 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-26 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2020
|
590637814
|
2021-10-01
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-01 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-01 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2018
|
590637814
|
2019-08-14
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-08-14 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-14 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2017
|
590637814
|
2018-09-17
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-17 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-17 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2016
|
590637814
|
2017-10-04
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-04 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2015
|
590637814
|
2016-08-25
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD, JACKSONVILLE, FL, 322173430
|
Number of participants as of the end of the plan year
Active participants |
240 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-08-25 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-25 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2014
|
590637814
|
2015-10-06
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD., JACKSONVILLE, FL, 32217
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD., JACKSONVILLE, FL, 32217
|
Number of participants as of the end of the plan year
Active participants |
233 |
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 |
2015-10-06 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOLLES SCHOOL WELFARE BENEFITS PLAN
|
2013
|
590637814
|
2014-10-15
|
THE BOLLES SCHOOL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2011-04-01
|
Business code |
611000
|
Sponsor’s telephone number |
9042565067
|
Plan sponsor’s mailing address |
7400 SAN JOSE BLVD., JACKSONVILLE, FL, 32217
|
Plan sponsor’s
address |
7400 SAN JOSE BLVD., JACKSONVILLE, FL, 32217
|
Number of participants as of the end of the plan year
Active participants |
228 |
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 |
2014-10-15 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
PAULA HEDAYAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|