|
BUSH ROSS, P.A. WELFARE BENEFITS PLAN
|
2017
|
592753805
|
2018-10-30
|
BUSH ROSS, P.A.
|
102
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2010-04-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132249255
|
| Plan sponsor’s mailing address |
1801 N HIGHLAND AVE, TAMPA, FL, 336022656
|
| Plan sponsor’s
address |
PO BOX 3913, TAMPA, FL, 336013913
|
Number of participants as of the end of the plan year
| Active participants |
95 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2018-10-30 |
| Name of individual signing |
KELLY HAUSLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BUSH ROSS, P.A. WELFARE BENEFITS PLAN
|
2016
|
592753805
|
2017-10-30
|
BUSH ROSS, P.A.
|
110
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2010-04-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132249255
|
| Plan sponsor’s mailing address |
1801 N HIGHLAND AVE, TAMPA, FL, 336022656
|
| Plan sponsor’s
address |
PO BOX 3913, TAMPA, FL, 336013913
|
Number of participants as of the end of the plan year
| Active participants |
98 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-10-30 |
| Name of individual signing |
KELLY HAUSLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BUSH ROSS, P.A. WELFARE BENEFITS PLAN
|
2015
|
592753805
|
2016-10-31
|
BUSH ROSS, P.A.
|
110
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2010-04-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132249255
|
| Plan sponsor’s mailing address |
1801 N HIGHLAND AVE, TAMPA, FL, 336022656
|
| Plan sponsor’s
address |
PO BOX 3913, TAMPA, FL, 336013913
|
Number of participants as of the end of the plan year
| Active participants |
110 |
| Retired or separated participants receiving
benefits |
2 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-10-31 |
| Name of individual signing |
KELLY HAUSLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BUSH ROSS, P.A. WELFARE BENEFITS PLAN
|
2014
|
592753805
|
2015-10-30
|
BUSH ROSS, P.A.
|
112
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2010-04-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132249255
|
| Plan sponsor’s mailing address |
1801 N HIGHLAND AVE, TAMPA, FL, 336022656
|
| Plan sponsor’s
address |
PO BOX 3913, TAMPA, FL, 336013913
|
Number of participants as of the end of the plan year
| Active participants |
110 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-10-30 |
| Name of individual signing |
KELLY HAUSLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BUSH ROSS, P.A. PROFIT SHARING PLAN
|
2009
|
592753805
|
2010-09-14
|
BUSH ROSS, P.A.
|
97
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1999-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132249255
|
| Plan sponsor’s mailing address |
1801 N. HIGHLAND AVENUE, PO BOX 3913, TAMPA, FL, 33601
|
| Plan sponsor’s
address |
1801 N. HIGHLAND AVENUE, PO BOX 3913, TAMPA, FL, 33601
|
Plan administrator’s name and address
| Administrator’s EIN |
592753805 |
| Plan administrator’s name |
BUSH ROSS, P.A. |
| Plan administrator’s
address |
1801 N. HIGHLAND AVENUE, PO BOX 3913, TAMPA, FL, 33601 |
| Administrator’s telephone number |
8132249255 |
Number of participants as of the end of the plan year
| Active participants |
101 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
12 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
113 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-14 |
| Name of individual signing |
RANDY STERNS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
