|
EXCEL HOSPITALITY, INC. HEALTH AND WELFARE BENEFIT PLAN
|
2018
|
650135466
|
2019-05-17
|
EXCEL HOSPITALITY, INC
|
198
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
601
|
| Effective date of plan |
2015-01-01
|
| Business code |
721110
|
| Sponsor’s telephone number |
7277427978
|
| Plan sponsor’s mailing address |
PO BOX 40964, ST PETERSBURG, FL, 33743
|
| Plan sponsor’s
address |
6200 GULF BLVD, ST PETE BEACH, FL, 33706
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| 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 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| 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 |
2019-05-17 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-05-17 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EXCEL HOSPITALITY, INC. HEALTH AND WELFARE BENEFIT PLAN
|
2017
|
650135466
|
2018-05-24
|
EXCEL HOSPITALITY, INC.
|
195
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
601
|
| Effective date of plan |
2015-01-01
|
| Business code |
721110
|
| Sponsor’s telephone number |
7273671902
|
| Plan sponsor’s mailing address |
6200 GULF BLVD, ST PETE BEACH, FL, 33706
|
| Plan sponsor’s
address |
6200 GULF BLVD, ST PETE BEACH, FL, 33706
|
Number of participants as of the end of the plan year
| Active participants |
166 |
| 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 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| 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 |
2018-05-24 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-05-24 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EXCEL HOSPITALITY, INC. HEALTH AND WELFARE BENEFIT PLAN
|
2016
|
650135466
|
2017-06-09
|
EXCEL HOSPITALITY, INC.
|
164
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
601
|
| Effective date of plan |
2015-01-01
|
| Business code |
721110
|
| Sponsor’s telephone number |
7273671902
|
| Plan sponsor’s mailing address |
6200 GULF BLVD, ST PETE BEACH, FL, 33706
|
| Plan sponsor’s
address |
6200 GULF BLVD, ST PETE BEACH, FL, 33706
|
Number of participants as of the end of the plan year
| Active participants |
160 |
| 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 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| 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 |
2017-06-09 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-06-09 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EXCEL HOSPITALITY, INC. HEALTH AND WELFARE BENEFIT PLAN
|
2015
|
650135466
|
2016-09-12
|
EXCEL HOSPITALITY, INC.
|
160
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
601
|
| Effective date of plan |
2015-01-01
|
| Business code |
721110
|
| Sponsor’s telephone number |
7273671902
|
| Plan sponsor’s mailing address |
6200 GULF BLVD, ST PETE BEACH, FL, 337063716
|
| Plan sponsor’s
address |
6200 GULF BLVD, ST PETE BEACH, FL, 337063716
|
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 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-09-12 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-09-12 |
| Name of individual signing |
KAREN DEMENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
