AIRSCAN GROUP LIFE INSURANCE PLAN
|
2016
|
592391830
|
2018-01-25
|
AIRSCAN INC
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3215679000
|
Plan sponsor’s mailing address |
PO BOX 2607, TITUSVILLE, FL, 327812607
|
Plan sponsor’s
address |
1885 ARMSTRONG DRIVE, TITUSVILLE, FL, 32780
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-01-25 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-25 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIRSCAN GROUP LIFE INSURANCE PLAN
|
2015
|
592391830
|
2017-01-25
|
AIRSCAN INC
|
143
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3215679000
|
Plan sponsor’s mailing address |
PO BOX 2607, TITUSVILLE, FL, 327812607
|
Plan sponsor’s
address |
1885 ARMSTRONG DRIVE, TITUSVILLE, FL, 32780
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-25 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-25 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIRSCAN GROUP LIFE INSURANCE PLAN
|
2014
|
592391830
|
2016-01-18
|
AIRSCAN INC
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3215679000
|
Plan sponsor’s mailing address |
PO BOX 2607, TITUSVILLE, FL, 32781
|
Plan sponsor’s
address |
1885 ARMSTRONG DRIVE, TITUSVILLE, FL, 32780
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-01-15 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-15 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIRSCAN GROUP LIFE INSURANCE PLAN
|
2013
|
592391830
|
2015-01-21
|
AIRSCAN INC
|
124
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3215679000
|
Plan sponsor’s mailing address |
PO BOX 2607, TITUSVILLE, FL, 32781
|
Plan sponsor’s
address |
1885 ARMSTRONG DRIVE, TITUSVILLE, FL, 32780
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-01-21 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-01-21 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIRSCAN GROUP LIFE INSURANCE PLAN
|
2012
|
592391830
|
2014-01-27
|
AIRSCAN INC
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3212689922
|
Plan sponsor’s mailing address |
PO BOX 2607, TITUSVILLE, FL, 32781
|
Plan sponsor’s
address |
1885 ARMSTRONG DRIVE, TITUSVILLE, FL, 32780
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-01-27 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-27 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIRSCAN GROUP LIFE INSURANCE PLAN
|
2011
|
592391830
|
2013-01-14
|
AIRSCAN INC
|
293
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3212689922
|
Plan sponsor’s mailing address |
PO BOX 2607, TITUSVILLE, FL, 32781
|
Plan sponsor’s
address |
1885 ARMSTRONG DRIVE, TITUSVILLE, FL, 32780
|
Plan administrator’s name and address
Administrator’s EIN |
592391830 |
Plan administrator’s name |
AIRSCAN INC |
Plan administrator’s
address |
PO BOX 2607, TITUSVILLE, FL, 32781 |
Administrator’s telephone number |
3212689922 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-14 |
Name of individual signing |
PATRICIA WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIRSCAN INC GROUP LIFE INSURANCE PLAN
|
2010
|
592391830
|
2012-02-03
|
AIRSCAN INC
|
279
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3212689922
|
Plan sponsor’s mailing address |
PO BOX 2607, TITUSVILLE, FL, 32781
|
Plan sponsor’s
address |
1885 ARMSTRONG DRIVE, TITUSVILLE, FL, 32780
|
Plan administrator’s name and address
Administrator’s EIN |
592391830 |
Plan administrator’s name |
AIRSCAN INC |
Plan administrator’s
address |
PO BOX 2607, TITUSVILLE, FL, 32781 |
Administrator’s telephone number |
3212689922 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-02-03 |
Name of individual signing |
NANCY GIBBONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIRSCAN INC GROUP LIFE INSURANCE PLAN
|
2009
|
592391830
|
2011-01-24
|
AIRSCAN INC
|
210
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-07-01
|
Business code |
481000
|
Sponsor’s telephone number |
3212689922
|
Plan sponsor’s mailing address |
7017 CHALLENGER AVENUE, TITUSVILLE, FL, 32780
|
Plan sponsor’s
address |
7017 CHALLENGER AVENUE, TITUSVILLE, FL, 32780
|
Plan administrator’s name and address
Administrator’s EIN |
592391830 |
Plan administrator’s name |
AIRSCAN INC |
Plan administrator’s
address |
7017 CHALLENGER AVENUE, TITUSVILLE, FL, 32780 |
Administrator’s telephone number |
3212689922 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-01-24 |
Name of individual signing |
NANCY GIBBONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-24 |
Name of individual signing |
NANCY GIBBONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|