MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2023
|
582251064
|
2024-07-10
|
MCKIBBON HOTEL GROUP
|
635
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Number of participants as of the end of the plan year
Active participants |
675 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-10 |
Name of individual signing |
BEN HOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2022
|
582251064
|
2023-07-19
|
MCKIBBON HOTEL GROUP
|
584
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Number of participants as of the end of the plan year
Active participants |
635 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-19 |
Name of individual signing |
BEN HOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2021
|
582251064
|
2022-06-17
|
MCKIBBON HOTEL GROUP
|
745
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Number of participants as of the end of the plan year
Active participants |
584 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-06-17 |
Name of individual signing |
BEN HOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2020
|
582251064
|
2021-05-11
|
MCKIBBON HOTEL GROUP
|
1248
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 170, TAMPA, FL, 336071480
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-05-10 |
Name of individual signing |
BENJAMIN HOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2019
|
582251064
|
2020-08-29
|
MCKIBBON HOTEL GROUP
|
1052
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-28 |
Name of individual signing |
BENJAMIN HOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2018
|
582251064
|
2019-07-23
|
MCKIBBON HOTEL GROUP
|
2061
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
DEBORAH AMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-23 |
Name of individual signing |
DEBORAH AMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2017
|
582251064
|
2018-07-09
|
MCKIBBON HOTEL GROUP
|
1146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-09 |
Name of individual signing |
DEBORAH AMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCKIBBON HOTEL GROUP HEALTH & WELFARE BENEFITS
|
2016
|
582251064
|
2017-12-14
|
MCKIBBON HOTEL GROUP
|
1064
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
8134727395
|
Plan sponsor’s mailing address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Plan sponsor’s
address |
5315 AVION PARK DR STE 120, TAMPA, FL, 336071461
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-12-14 |
Name of individual signing |
DEBORAH AMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|