AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2023
|
410134100
|
2024-10-14
|
AUSTIN MUTUAL INSURANCE COMPANY
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
102 |
Other
retired or separated participants entitled to future benefits |
35 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
8 |
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 |
2024-10-14 |
Name of individual signing |
KARI GRASEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2022
|
410134100
|
2023-10-12
|
AUSTIN MUTUAL INSURANCE COMPANY
|
151
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
103 |
Other
retired or separated participants entitled to future benefits |
37 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
9 |
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 |
2023-10-12 |
Name of individual signing |
KARI GRASEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2021
|
410134100
|
2022-10-11
|
AUSTIN MUTUAL INSURANCE COMPANY
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
101 |
Other
retired or separated participants entitled to future benefits |
42 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
8 |
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 |
2022-10-11 |
Name of individual signing |
RUTH MUNGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2020
|
410134100
|
2021-10-13
|
AUSTIN MUTUAL INSURANCE COMPANY
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
98 |
Other
retired or separated participants entitled to future benefits |
48 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
9 |
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 |
2021-10-13 |
Name of individual signing |
RUTH MUNGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2019
|
410134100
|
2020-10-10
|
AUSTIN MUTUAL INSURANCE COMPANY
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
96 |
Other
retired or separated participants entitled to future benefits |
54 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
10 |
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 |
2020-10-10 |
Name of individual signing |
MICHELE SEYMOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2018
|
410134100
|
2019-10-10
|
AUSTIN MUTUAL INSURANCE COMPANY
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
96 |
Other
retired or separated participants entitled to future benefits |
57 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
10 |
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 |
2019-10-10 |
Name of individual signing |
MICHELE SEYMOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2017
|
410134100
|
2018-10-11
|
AUSTIN MUTUAL INSURANCE COMPANY
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
95 |
Other
retired or separated participants entitled to future benefits |
61 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
11 |
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 |
2018-10-11 |
Name of individual signing |
BRUCE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY RETIREMENT PLAN
|
2016
|
410134100
|
2017-10-10
|
AUSTIN MUTUAL INSURANCE COMPANY
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1939-07-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s mailing address |
P.O. BOX 16000, JACKSONVILLE, FL, 322456000
|
Plan sponsor’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
|
Plan administrator’s name and address
Administrator’s EIN |
020170490 |
Plan administrator’s name |
THE MAIN STREET AMERICA GROUP |
Plan administrator’s
address |
4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486 |
Administrator’s telephone number |
9043807305 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
82 |
Other
retired or separated participants entitled to future benefits |
77 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
12 |
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 |
2017-10-10 |
Name of individual signing |
BRUCE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN
|
2016
|
410134100
|
2017-07-27
|
AUSTIN MUTUAL INSURANCE COMPANY
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-01-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s
address |
PO BOX 16000, JACKSONVILLE, FL, 322456000
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
BRUCE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
BRUCE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AUSTIN MUTUAL INSURANCE COMPANY 401(K) SAVINGS
|
2016
|
410134100
|
2017-07-27
|
AUSTIN MUTUAL INSURANCE COMPANY
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-01-01
|
Business code |
524150
|
Sponsor’s telephone number |
9043807305
|
Plan sponsor’s
address |
PO BOX 16000, JACKSONVILLE, FL, 322456000
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
BRUCE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
BRUCE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|