FLOTECH INC MASTER HEALTH AND WELFARE BENEFIT PLAN
|
2020
|
592156681
|
2021-07-23
|
FLOTECH, INC.
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
9043581849
|
Plan sponsor’s mailing address |
136 EASTPORT RD, JACKSONVILLE, FL, 322183906
|
Plan sponsor’s
address |
136 EASTPORT RD, JACKSONVILLE, FL, 322183906
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
KAREEM DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-23 |
Name of individual signing |
KAREEM DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH INC MASTER HEALTH AND WELFARE BENEFIT PLAN
|
2019
|
592156681
|
2020-07-27
|
FLOTECH, INC.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
9043581849
|
Plan sponsor’s mailing address |
136 EASTPORT RD, JACKSONVILLE, FL, 322183906
|
Plan sponsor’s
address |
136 EASTPORT RD, JACKSONVILLE, FL, 322183906
|
Number of participants as of the end of the plan year
Active participants |
126 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DAVID EDWARDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH INC MASTER HEALTH AND WELFARE BENEFIT PLAN
|
2018
|
592156681
|
2019-07-15
|
FLOTECH, INC.
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
9043581849
|
Plan sponsor’s mailing address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Plan sponsor’s
address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Number of participants as of the end of the plan year
Active participants |
120 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-15 |
Name of individual signing |
DAVID EDWARDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH INC HEALTH AND WELFARE BENEFIT PLAN
|
2017
|
592156681
|
2018-07-30
|
FLOTECH INC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
9045381849
|
Plan sponsor’s mailing address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Plan sponsor’s
address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-26 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH HEALTH AND WELFARE BENEFIT PLAN
|
2016
|
592156681
|
2017-08-25
|
FLOTECH INC
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
9045381849
|
Plan sponsor’s mailing address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Plan sponsor’s
address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-08-23 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-23 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH HEALTH AND WELFARE BENEFIT PLAN
|
2015
|
592156681
|
2016-07-29
|
FLOTECH INC
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
9045381849
|
Plan sponsor’s mailing address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Plan sponsor’s
address |
3330 EVERGREEN AVE, JACKSONVILLE, FL, 322062325
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH HEALTH & WELFARE
|
2013
|
592156681
|
2014-12-17
|
FLOTECH, INC
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
9045381849
|
Plan sponsor’s mailing address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206
|
Plan sponsor’s
address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-12-12 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-12 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH HEALTH & WELFARE
|
2012
|
592156681
|
2013-12-20
|
FLOTECH, INC.
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
9045381849
|
Plan sponsor’s mailing address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206
|
Plan sponsor’s
address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206
|
Number of participants as of the end of the plan year
Active participants |
154 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-12-20 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH HEALTH & WELFARE
|
2011
|
592156681
|
2012-12-06
|
FLOTECH, INC.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
9043581849
|
Plan sponsor’s mailing address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206
|
Plan sponsor’s
address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206
|
Plan administrator’s name and address
Administrator’s EIN |
391263473 |
Plan administrator’s name |
FLOTECH, INC. |
Plan administrator’s
address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206 |
Administrator’s telephone number |
9043581849 |
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-12-06 |
Name of individual signing |
DIANE SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOTECH, INC. 401(K) SAVINGS PLAN
|
2010
|
592156681
|
2012-08-15
|
FLOTECH, INC.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
9043581849
|
Plan sponsor’s
address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206
|
Plan administrator’s name and address
Administrator’s EIN |
592156681 |
Plan administrator’s name |
FLOTECH, INC. |
Plan administrator’s
address |
3330 EVERGREEN AVENUE, JACKSONVILLE, FL, 32206 |
Administrator’s telephone number |
9043581849 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
DIANE M. SCHROER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|