THE CROM CORPORATION CANCER INSURANCE PLAN
|
2015
|
590702495
|
2017-01-24
|
THE CROM CORPORATION
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2001-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION DENTAL AND VISION INSURANCE PLAN
|
2015
|
590702495
|
2017-01-24
|
THE CROM CORPORATION
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2001-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION INDIVIDUAL LIFE INSURANCE PLAN
|
2015
|
590702495
|
2017-01-24
|
THE CROM CORPORATION
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2007-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION LONG TERM DISABILITY INSURANCE PLAN
|
2015
|
590702495
|
2017-01-24
|
THE CROM CORPORATION
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2001-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION ACCIDENT INSURANCE PLAN
|
2015
|
590702495
|
2017-01-24
|
THE CROM CORPORATION
|
271
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2001-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATIONLIFE INSURANCE PLAN
|
2015
|
590702495
|
2017-01-24
|
THE CROM CORPORATION
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-09-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-24 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION HEALTH INSURANCE PLAN
|
2015
|
590702495
|
2016-07-21
|
THE CROM CORPORATION
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1988-09-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-21 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION DENTAL AND VISION INSURANCE PLAN
|
2015
|
590702495
|
2016-07-25
|
THE CROM CORPORATION
|
234
|
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2001-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-22 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION INDIVIDUAL LIFE INSURANCE PLAN
|
2015
|
590702495
|
2016-07-25
|
THE CROM CORPORATION
|
75
|
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2007-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-22 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CROM CORPORATION LONG TERM DISABILITY INSURANCE PLAN
|
2015
|
590702495
|
2016-07-25
|
THE CROM CORPORATION
|
178
|
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2001-05-01
|
Business code |
237990
|
Sponsor’s telephone number |
3523723436
|
Plan sponsor’s mailing address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Plan sponsor’s
address |
250 SW 36TH TER, GAINESVILLE, FL, 326072863
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-22 |
Name of individual signing |
JEFFREY POMEROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|