DIPASQUA ENTERPRISES GROUP MEDICAL PLAN
|
2014
|
592257596
|
2015-07-24
|
DIPASQUA ENTERPRISES INC
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
4076448578
|
Plan
sponsor’s DBA name |
DIPASQUA ENTERPRISES
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-24 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-24 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES LTD PLAN
|
2014
|
592257596
|
2015-06-29
|
DIPASQUA ENTERPRISES INC
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
4076448578
|
Plan
sponsor’s DBA name |
DIPASQUA ENTERPRISES
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-29 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES GROUP MEDICAL PLAN
|
2013
|
592257596
|
2014-07-28
|
DIPASQUA ENTERPRISES INC
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
4076448578
|
Plan
sponsor’s DBA name |
DIPASQUA ENTERPRISES
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES LTD PLAN
|
2013
|
592257596
|
2014-07-10
|
DIPASQUA ENTERPRISES INC
|
123
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
4076448578
|
Plan
sponsor’s DBA name |
DIPASQUA ENTERPRISES
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-10 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES GROUP DENTAL PLAN
|
2013
|
592257596
|
2014-07-10
|
DIPASQUA ENTERPRISES INC
|
458
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
4076448578
|
Plan
sponsor’s DBA name |
DIPASQUA ENTERPRISES
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-10 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES GROUP MEDICAL PLAN
|
2012
|
592257596
|
2013-07-03
|
DIPASQUA ENTERPRISES INC.
|
125
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
4076448578
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-03 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES LTD PLAN
|
2012
|
592257596
|
2013-07-03
|
DIPASQUA ENTERPRISES INC
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
4076448578
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-03 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES GROUP DENTAL PLAN
|
2012
|
592257596
|
2013-07-03
|
DIPASQUA ENTERPRISES INC.
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
4076448578
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-03 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES GROUP MEDICAL PLAN
|
2011
|
592257596
|
2012-07-03
|
DIPASQUA ENTERPRISES INC
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
4076448578
|
Plan sponsor’s mailing address |
2277 LEE RD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE RD, WINTER PARK, FL, 32789
|
Plan administrator’s name and address
Administrator’s EIN |
592257596 |
Plan administrator’s name |
DIPASQUA ENTERPRISES INC |
Plan administrator’s
address |
2277 LEE RD, WINTER PARK, FL, 32789 |
Administrator’s telephone number |
4076448578 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-03 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIPASQUA ENTERPRISES GROUP DENTAL PLAN
|
2011
|
592257596
|
2012-07-05
|
DIPASQUA ENTERPRISES INC
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-01-01
|
Business code |
722110
|
Plan sponsor’s mailing address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan sponsor’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789
|
Plan administrator’s name and address
Administrator’s EIN |
592257596 |
Plan administrator’s name |
DIPASQUA ENTERPRISES INC |
Plan administrator’s
address |
2277 LEE ROAD, WINTER PARK, FL, 32789 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
MICHAEL MACKUBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|