TAX DEFERRED ANNUITY PLAN OF AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
2019
|
590662271
|
2020-10-08
|
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-03-01
|
Business code |
813000
|
Sponsor’s telephone number |
9047432933
|
Plan sponsor’s
address |
6852 BELFORT OAKS PL, JACKSONVILLE, FL, 322166241
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
WILLIE BYTHWOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
2019
|
590662271
|
2020-10-08
|
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
9047432933
|
Plan sponsor’s
address |
6852 BELFORT OAKS PL, JACKSONVILLE, FL, 322166241
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
WILLIE BYTHWOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
2018
|
590662271
|
2020-01-31
|
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
9047432933
|
Plan sponsor’s
address |
6852 BELFORT OAKS PL, JACKSONVILLE, FL, 322166241
|
Signature of
Role |
Plan administrator |
Date |
2020-01-31 |
Name of individual signing |
WILLIE BYTHWOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
2018
|
590662271
|
2019-07-10
|
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-03-01
|
Business code |
813000
|
Sponsor’s telephone number |
9047432933
|
Plan sponsor’s
address |
6852 BELFORT OAKS PL, JACKSONVILLE, FL, 322166241
|
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
WILLIE BYTHWOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
2017
|
590662271
|
2019-03-18
|
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
9047432933
|
Plan sponsor’s
address |
6852 BELFORT OAKS PL, JACKSONVILLE, FL, 322166241
|
Signature of
Role |
Plan administrator |
Date |
2019-03-18 |
Name of individual signing |
WILLIE BYTHWOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE AMERICAN LUNG ASSOCIATION OF THE SE
|
2012
|
590662271
|
2013-10-11
|
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
813000
|
Plan sponsor’s
address |
6852 BELFORT OAKS PLACE, JACKSONVILLE, FL, 32216
|
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
WILLIE BYTHWOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403B THRIFT PLAN OF AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCOR
|
2011
|
590662271
|
2013-01-22
|
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
9047432933
|
Plan sponsor’s
address |
6852 BELFORT OAKS PL, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
590662271 |
Plan administrator’s name |
AMERICAN LUNG ASSOCIATION OF THE SOUTHEAST, INCORPORATED |
Plan administrator’s
address |
6852 BELFORT OAKS PL, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9047432933 |
Signature of
Role |
Plan administrator |
Date |
2013-01-22 |
Name of individual signing |
WILLIE BYTHWOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|