ALTIRA, INC. GROUP HEALTH PLAN
|
2019
|
592472239
|
2020-12-31
|
ALTIRA, INC.
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-12-31 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2018
|
592472239
|
2019-10-16
|
ALTIRA, INC.
|
165
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2017
|
592472239
|
2018-10-10
|
ALTIRA, INC.
|
143
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2016
|
592472239
|
2017-10-06
|
ALTIRA, INC.
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Active participants |
143 |
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 |
2017-10-06 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. EMPLOYEES GROUP HEALTH PLAN
|
2015
|
592472239
|
2016-09-28
|
ALTIRA, INC.
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Active participants |
155 |
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 |
2016-09-28 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-28 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2015
|
592472239
|
2016-09-28
|
ALTIRA, INC.
|
155
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Active participants |
134 |
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 |
2016-09-28 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-28 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2015
|
592472239
|
2016-02-18
|
ALTIRA, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2015
|
592472239
|
2016-02-18
|
ALTIRA, INC.
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Active participants |
137 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2015
|
592472239
|
2016-02-18
|
ALTIRA, INC.
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTIRA, INC. GROUP HEALTH PLAN
|
2015
|
592472239
|
2016-02-18
|
ALTIRA, INC.
|
150
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1984-07-03
|
Business code |
325900
|
Sponsor’s telephone number |
3056878074
|
Plan sponsor’s mailing address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Plan sponsor’s
address |
3225 NW 112TH ST, MIAMI, FL, 331673310
|
Signature of
Role |
Plan administrator |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-18 |
Name of individual signing |
RAMON E. POO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|