LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2023
|
590730067
|
2024-05-15
|
LAKELAND CHRISTIAN SCHOOL
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-15 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-15 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2022
|
590730067
|
2023-06-13
|
LAKELAND CHRISTIAN SCHOOL
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-13 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-13 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2021
|
590730067
|
2022-06-02
|
LAKELAND CHRISTIAN SCHOOL
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-01 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2020
|
590730067
|
2021-06-14
|
LAKELAND CHRISTIAN SCHOOL
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-14 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-14 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2019
|
590730067
|
2020-06-19
|
LAKELAND CHRISTIAN SCHOOL
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-19 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE /AD&D
|
2018
|
590730067
|
2019-06-27
|
LAKELAND CHRISTIAN SCHOOL
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-27 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-27 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2017
|
590730067
|
2018-08-01
|
LAKELAND CHRISTIAN SCHOOL
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-08-01 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2016
|
590730067
|
2017-06-23
|
LAKELAND CHRISTIAN SCHOOL
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-23 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-23 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2015
|
590730067
|
2016-07-11
|
LAKELAND CHRISTIAN SCHOOL
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Plan sponsor’s
address |
1111 FOREST PARK ST, LAKELAND, FL, 338031832
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-11 |
Name of individual signing |
TRACY CROSBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND CHRISTIAN SCHOOL LIFE/AD&D
|
2014
|
590730067
|
2015-09-04
|
LAKELAND CHRISTIAN SCHOOL
|
207
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
8636882771
|
Plan sponsor’s mailing address |
1111 FOREST PARK, LAKELAND, FL, 33803
|
Plan sponsor’s
address |
1111 FOREST PARK, LAKELAND, FL, 33803
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-08-28 |
Name of individual signing |
MATTHEW GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-28 |
Name of individual signing |
MATTHEW GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|