|
AMPORTS, INC. EMPLOYEE HEALTH & WELFARE BENEFITS
|
2016
|
521972572
|
2017-07-21
|
AMPORTS, INC.
|
294
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2016-01-01
|
| Business code |
485990
|
| Sponsor’s telephone number |
9042656270
|
| Plan sponsor’s mailing address |
10060 SKINNER LAKE DR # 205, JACKSONVILLE, FL, 322468495
|
| Plan sponsor’s
address |
10060 SKINNER LAKE DR # 205, JACKSONVILLE, FL, 322468495
|
Number of participants as of the end of the plan year
| Active participants |
311 |
| 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 |
2017-07-21 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-07-21 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AMPORTS, INC. EMPLOYEE HEALTH AND WELFARE BENEFITS
|
2015
|
521972572
|
2016-07-05
|
AMPORTS, INC.
|
240
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2015-01-15
|
| Business code |
485990
|
| Sponsor’s telephone number |
9052656270
|
| Plan sponsor’s mailing address |
10060 SKINNER LAKE DR STE 205, JACKSONVILLE, FL, 322468495
|
| Plan sponsor’s
address |
10060 SKINNER LAKE DR, SUITE 205, JACKSONVILLE, FL, 322468495
|
Number of participants as of the end of the plan year
| Active participants |
222 |
| 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 |
2016-07-05 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-07-05 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AMPORTS, INC. EMPLOYEE WELFARE BENEFITS
|
2014
|
521972572
|
2015-07-27
|
AMPORTS, INC.
|
243
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1997-08-01
|
| Business code |
485990
|
| Sponsor’s telephone number |
9042656270
|
| Plan
sponsor’s DBA name |
AMPORTS, INC.
|
| Plan sponsor’s mailing address |
10060 SKINNER LAKE DRIVE, SUITE 205, JACKSONVILLE, FL, 32246
|
| Plan sponsor’s
address |
10060 SKINNER LAKE DRIVE, SUITE 205, JACKSONVILLE, FL, 32246
|
Number of participants as of the end of the plan year
| Active participants |
264 |
| Retired or separated participants receiving
benefits |
3 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-27 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-07-27 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AMPORTS, INC. EMPLOYEEWELFARE BENEFITS
|
2013
|
521972572
|
2014-07-29
|
AMPORTS, INC.
|
217
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1997-08-01
|
| Business code |
485990
|
| Sponsor’s telephone number |
9048490017
|
| Plan sponsor’s mailing address |
10201 CENTURION PARKWAY N., SUITE 401, JACKSONVILLE, FL, 32256
|
| Plan sponsor’s
address |
10201 CENTURION PARKWAY N., SUITE 401, JACKSONVILLE, FL, 32256
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-29 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-07-29 |
| Name of individual signing |
GLORIA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
