THE BOUQUET COLLECTION WELFARE BENEFITS PLAN
|
2017
|
592567726
|
2018-07-27
|
BOUQUET COLLECTION, INC.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
424930
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s mailing address |
2750 NW 79TH AVE, DORAL, FL, 331221067
|
Plan sponsor’s
address |
2750 NW 79TH AVE, DORAL, FL, 331221067
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
SUSAN LUJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
SUSAN LUJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOUQUET COLLECTION MEDICAL PLAN
|
2016
|
592567726
|
2018-07-27
|
BOUQUET COLLECTION, INC.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-12-01
|
Business code |
424930
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s mailing address |
2750 NW 79TH AVE, MIAMI, FL, 331221067
|
Plan sponsor’s
address |
2750 NW 79TH AVE, MIAMI, FL, 331221067
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
SUSAN LUJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
SUSAN LUJAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE BOUQUET COLLECTION WELFARE BENEFITS PLAN
|
2016
|
592567726
|
2017-07-18
|
BOUQUET COLLECTION, INC.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
424930
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s mailing address |
2750 NW 79TH AVE, DORAL, FL, 331221067
|
Plan sponsor’s
address |
2750 NW 79TH AVE, DORAL, FL, 331221067
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
CLARA ILLEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
CLARA ILLEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOUQUET COLLECTION, INC. 401(K) PLAN
|
2015
|
592567726
|
2016-10-12
|
BOUQUET COLLECTION, INC.
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s
address |
7980 N.W. 33RD STREET, MIAMI, FL, 33122
|
|
THE BOUQUET COLLECTION MEDICAL PLAN
|
2015
|
592567726
|
2017-07-18
|
BOUQUET COLLECTION, INC.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1998-12-01
|
Business code |
424930
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s mailing address |
2750 NW 79TH AVE, MIAMI, FL, 331221067
|
Plan sponsor’s
address |
2750 NW 79TH AVE, MIAMI, FL, 331221067
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
CLARA ILLEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
CLARA ILLEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOUQUET COLLECTION, INC. 401(K) PLAN
|
2014
|
592567726
|
2015-06-29
|
BOUQUET COLLECTION, INC.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s
address |
7980 N.W. 33RD STREET, MIAMI, FL, 33122
|
|
BOUQUET COLLECTION, INC. 401(K) PLAN
|
2013
|
592567726
|
2014-06-25
|
BOUQUET COLLECTION, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s
address |
7980 N.W. 33RD STREET, MIAMI, FL, 33122
|
|
BOUQUET COLLECTION, INC. 401(K) PLAN
|
2012
|
592567726
|
2013-06-06
|
BOUQUET COLLECTION, INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s
address |
7980 N.W. 33RD STREET, MIAMI, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2013-06-06 |
Name of individual signing |
JAVIER MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOUQUET COLLECTION, INC. 401K PLAN
|
2011
|
592567726
|
2012-08-22
|
BOUQUET COLLECTION, INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s
address |
7980 NW 33RD STREET, MIAMI, FL, 331221002
|
Plan administrator’s name and address
Administrator’s EIN |
592567726 |
Plan administrator’s name |
BOUQUET COLLECTION, INC. |
Plan administrator’s
address |
7980 NW 33RD STREET, MIAMI, FL, 331221002 |
Administrator’s telephone number |
3055944981 |
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
JAVIER MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOUQUET COLLECTION, INC. 401K PLAN
|
2010
|
592567726
|
2011-08-17
|
BOUQUET COLLECTION, INC.
|
57
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3055944981
|
Plan sponsor’s
address |
7980 NW 33RD STREET, MIAMI, FL, 331221002
|
Plan administrator’s name and address
Administrator’s EIN |
592567726 |
Plan administrator’s name |
BOUQUET COLLECTION, INC. |
Plan administrator’s
address |
7980 NW 33RD STREET, MIAMI, FL, 331221002 |
Administrator’s telephone number |
3055944981 |
Signature of
Role |
Plan administrator |
Date |
2011-08-17 |
Name of individual signing |
JAVIER MESA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|