FLORIDA HARDWARE MASTER HEALTH AND WELFARE BENEFIT PLAN
|
2020
|
593672342
|
2021-06-30
|
FLORIDA HARDWARE, LLC.
|
204
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan
sponsor’s DBA name |
INDEPENDENT DEALER SUPPLY
|
Plan sponsor’s mailing address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Plan sponsor’s
address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE MASTER HEALTH AND WELFARE BENEFIT PLAN
|
2019
|
593672342
|
2020-05-28
|
FLORIDA HARDWARE, LLC.
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan
sponsor’s DBA name |
INDEPENDENT DEALER SUPPLY
|
Plan sponsor’s mailing address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Plan sponsor’s
address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-05-26 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE MASTER HEALTH AND WELFARE BENEFIT PLAN
|
2018
|
593672342
|
2019-06-14
|
FLORIDA HARDWARE, LLC
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
332510
|
Sponsor’s telephone number |
9047831650
|
Plan sponsor’s mailing address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Plan sponsor’s
address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Number of participants as of the end of the plan year
Active participants |
167 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-06-14 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-14 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE LLC 401 (K) PLAN
|
2018
|
593672342
|
2019-07-08
|
FLORIDA HARDWARE LLC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan sponsor’s
address |
436 CASSAT AVENUE, P.O. BOX 6759, JACKSONVILLE, FL, 32254
|
Signature of
Role |
Plan administrator |
Date |
2019-07-08 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE LLC EMPLOYEE BENEFIT PLAN
|
2017
|
593672342
|
2018-07-31
|
FLORIDA HARDWARE, LLC.
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan
sponsor’s DBA name |
INDEPENDENT DEALER SUPPLY
|
Plan sponsor’s mailing address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Plan sponsor’s
address |
436 CASSAT AVE, JACKSONVILLE, FL, 322543720
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE LLC 401 (K) PLAN
|
2017
|
593672342
|
2018-04-04
|
FLORIDA HARDWARE LLC
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan sponsor’s
address |
436 CASSAT AVENUE, P.O. BOX 6759, JACKSONVILLE, FL, 32254
|
Signature of
Role |
Plan administrator |
Date |
2018-04-04 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE LLC 401 (K) PLAN
|
2016
|
593672342
|
2017-04-18
|
FLORIDA HARDWARE LLC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan sponsor’s
address |
436 CASSAT AVENUE, P.O. BOX 6759, JACKSONVILLE, FL, 32254
|
Signature of
Role |
Plan administrator |
Date |
2017-04-18 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE LLC 401 (K) PLAN
|
2015
|
593672342
|
2016-05-19
|
FLORIDA HARDWARE LLC
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan sponsor’s
address |
436 CASSAT AVENUE, P.O. BOX 6759, JACKSONVILLE, FL, 32254
|
Signature of
Role |
Plan administrator |
Date |
2016-05-19 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE LLC 401 (K) PLAN
|
2014
|
593672342
|
2015-06-03
|
FLORIDA HARDWARE LLC
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan sponsor’s
address |
436 CASSAT AVENUE, P.O. BOX 6759, JACKSONVILLE, FL, 32254
|
Signature of
Role |
Plan administrator |
Date |
2015-06-03 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA HARDWARE LLC 401 (K) PLAN
|
2013
|
593672342
|
2014-07-15
|
FLORIDA HARDWARE LLC
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-04-01
|
Business code |
423700
|
Sponsor’s telephone number |
9047831650
|
Plan sponsor’s
address |
436 CASSAT AVENUE, P.O. BOX 6759, JACKSONVILLE, FL, 32254
|
Signature of
Role |
Plan administrator |
Date |
2014-07-15 |
Name of individual signing |
STEPHAN THIEMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|