COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
|
2023
|
591885997
|
2024-07-16
|
KOCH FOUNDATION, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2023-05-15
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s mailing address |
4421 NW 39TH AVE STE 1-2, GAINESVILLE, FL, 326067211
|
Plan sponsor’s
address |
4421 NW 39TH AVE STE 1-2, GAINESVILLE, FL, 32606
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-16 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN FOR EMPLOYEES OF KOCH FOUNDATION, INC.
|
2023
|
591885997
|
2024-07-16
|
KOCH FOUNDATION, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s
address |
4421 NW 39TH AVE STE 1, GAINESVILLE, FL, 326067223
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
|
2022
|
591885997
|
2023-07-06
|
KOCH FOUNDATION INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-05-15
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s mailing address |
SUITE 1, 4421 NW 39TH AVE BLDG 1, GAINESVILLE, FL, 326067223
|
Plan sponsor’s
address |
SUITE 1, 4421 NW 39TH AVE BLDG 1, GAINESVILLE, FL, 326067223
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-06 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN FOR EMPLOYEES OF KOCH FOUNDATION, INC.
|
2022
|
591885997
|
2023-07-05
|
KOCH FOUNDATION, INC.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s
address |
4421 NW 39TH AVE STE 1, GAINESVILLE, FL, 326067223
|
Signature of
Role |
Plan administrator |
Date |
2023-07-05 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN FOR EMPLOYEES OF KOCH FOUNDATION, INC.
|
2022
|
591885997
|
2023-07-11
|
KOCH FOUNDATION, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s
address |
4421 NW 39TH AVE STE 1, GAINESVILLE, FL, 326067223
|
Signature of
Role |
Plan administrator |
Date |
2023-07-11 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-11 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
|
2021
|
591885997
|
2022-07-28
|
KOCH FOUNDATION, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-05-15
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s mailing address |
4421 NW 39TH AVE STE 1-1, GAINESVILLE, FL, 326067211
|
Plan sponsor’s
address |
4421 NW 39TH AVE STE 1-1, GAINESVILLE, FL, 326067211
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF KOCH FOUNDATION, INC.
|
2021
|
591885997
|
2022-07-28
|
KOCH FOUNDATION, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s
address |
4421 NW 39TH AVE STE 1, GAINESVILLE, FL, 326067223
|
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY
|
2020
|
591885997
|
2021-06-21
|
KOCH FOUNDATION, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-05-15
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s mailing address |
SUITE 1, 4421 NW 39TH AVE BLDG 1, GAINESVILLE, FL, 326067223
|
Plan sponsor’s
address |
SUITE 1, 4421 NW 39TH AVE BLDG 1, GAINESVILLE, FL, 326067223
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-21 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF KOCH FOUNDATION, INC.
|
2020
|
591885997
|
2021-05-13
|
KOCH FOUNDATION, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s
address |
4421 NW 39TH AVE STE 1, GAINESVILLE, FL, 326067223
|
Signature of
Role |
Plan administrator |
Date |
2021-05-13 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL LIFE ACCIDENT AND INSURANCE
|
2019
|
591885997
|
2020-07-20
|
KOCH FOUNDATION, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2019-05-15
|
Business code |
813000
|
Sponsor’s telephone number |
3523737491
|
Plan sponsor’s mailing address |
STE 1, 4421 NW 39TH AVE BLDG 1, GAINESVILLE, FL, 326067223
|
Plan sponsor’s
address |
STE 1, 4421 NW 39TH AVE BLDG 1, GAINESVILLE, FL, 326067223
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-20 |
Name of individual signing |
MONICA FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|