TOM NEHL TRUCK COMPANY WELFARE BENEFIT PLAN
|
2020
|
590840355
|
2021-07-22
|
TOM NEHL TRUCK COMPANY
|
230
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 EDGEWOOD AVE. SOUTH, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
PEGGY JENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
PEGGY JENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY WELFARE BENEFIT PLAN
|
2019
|
590840355
|
2020-07-01
|
TOM NEHL TRUCK COMPANY
|
215
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 EDGEWOOD AVE. SOUTH, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-01 |
Name of individual signing |
PEGGY JENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY WELFARE BENEFIT PLAN
|
2018
|
590840355
|
2019-06-28
|
TOM NEHL TRUCK COMPANY
|
207
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 EDGEWOOD AVE. SOUTH, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-28 |
Name of individual signing |
PEGGY JENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY WELFARE BENEFIT PLAN
|
2017
|
590840355
|
2018-06-14
|
TOM NEHL TRUCK COMPANY
|
217
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 S. EDGEWOOD AVE, JACKSONVILLE, FL, 32255
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-13 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-13 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY DENTAL PLAN
|
2016
|
590840355
|
2018-07-05
|
TOM NEHL TRUCK COMPANY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 S. EDGEWOOD AVE, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY LIFE AND AD&D PLAN
|
2016
|
590840355
|
2018-07-05
|
TOM NEHL TRUCK COMPANY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 S. EDGEWOOD AVE, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY VISION PLAN
|
2016
|
590840355
|
2018-07-05
|
TOM NEHL TRUCK COMPANY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 S. EDGEWOOD AVE, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY DISABILITY PLAN
|
2016
|
590840355
|
2018-07-05
|
TOM NEHL TRUCK COMPANY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 S. EDGEWOOD AVE, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY WELFARE BENEFIT PLAN
|
2016
|
590840355
|
2017-07-27
|
TOM NEHL TRUCK COMPANY
|
212
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 322367558
|
Plan sponsor’s
address |
417 S. EDGEWOOD AVE, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOM NEHL TRUCK COMPANY DISABILITY PLAN
|
2015
|
590840355
|
2016-06-30
|
TOM NEHL TRUCK COMPANY
|
203
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2005-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
9043893653
|
Plan sponsor’s mailing address |
PO BOX 37558, JACKSONVILLE, FL, 32254
|
Plan sponsor’s
address |
417 S. EDGEWOOD AVE, JACKSONVILLE, FL, 32254
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-30 |
Name of individual signing |
DEVON SCHEIBLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|