XCELIENCE 401(K) PLAN
|
2017
|
204487469
|
2018-10-15
|
XCELIENCE, LLC
|
231
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132807802
|
Plan sponsor’s mailing address |
4901 GRACE ST, TAMPA, FL, 33607
|
Plan sponsor’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
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 |
2018-10-15 |
Name of individual signing |
SHERRI WEILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2016
|
204487469
|
2017-10-13
|
XCELIENCE, LLC
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132807802
|
Plan sponsor’s mailing address |
4901 GRACE ST, TAMPA, FL, 33607
|
Plan sponsor’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Number of participants as of the end of the plan year
Active participants |
229 |
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 |
128 |
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 |
2017-10-13 |
Name of individual signing |
DOUGLAS J. O'DOWD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2015
|
204487469
|
2016-10-13
|
XCELIENCE, LLC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132807802
|
Plan sponsor’s
address |
4910 SAVARESE CIR, TAMPA, FL, 33634
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
DOUGLAS J. O'DOWD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2014
|
204487469
|
2015-04-20
|
XCELIENCE, LLC
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132807802
|
Plan sponsor’s
address |
4901 GRACE ST, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2015-04-20 |
Name of individual signing |
DOUGLAS J. O'DOWD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2013
|
204487469
|
2014-05-28
|
XCELIENCE
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132807802
|
Plan sponsor’s
address |
4901 GRACE ST, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2014-05-28 |
Name of individual signing |
DOUGLAS J. O'DOWD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2012
|
204487469
|
2013-05-10
|
XCELIENCE
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132860404
|
Plan sponsor’s mailing address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan sponsor’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
204487469 |
Plan administrator’s name |
XCELIENCE |
Plan administrator’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607 |
Administrator’s telephone number |
8132860404 |
Number of participants as of the end of the plan year
Active participants |
64 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
9 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
54 |
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 |
2013-05-10 |
Name of individual signing |
DEREK HENNECKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-10 |
Name of individual signing |
DEREK HENNECKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2011
|
204487469
|
2012-06-04
|
XCELIENCE
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132860404
|
Plan sponsor’s mailing address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan sponsor’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
204487469 |
Plan administrator’s name |
XCELIENCE |
Plan administrator’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607 |
Administrator’s telephone number |
8132860404 |
Number of participants as of the end of the plan year
Active participants |
60 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
7 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
53 |
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 |
2012-06-04 |
Name of individual signing |
DEREK HENNECKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2010
|
204487469
|
2011-07-01
|
XCELIENCE
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132860404
|
Plan sponsor’s mailing address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan sponsor’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
204487469 |
Plan administrator’s name |
XCELIENCE |
Plan administrator’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607 |
Administrator’s telephone number |
8132860404 |
Number of participants as of the end of the plan year
Active participants |
62 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
47 |
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 |
2011-07-01 |
Name of individual signing |
DEREK HENNECKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
XCELIENCE 401(K) PLAN
|
2009
|
204487469
|
2010-04-15
|
XCELIENCE
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
541700
|
Sponsor’s telephone number |
8132860404
|
Plan sponsor’s mailing address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan sponsor’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
204487469 |
Plan administrator’s name |
XCELIENCE |
Plan administrator’s
address |
5415 WEST LAUREL STREET, TAMPA, FL, 33607 |
Administrator’s telephone number |
8132860404 |
Number of participants as of the end of the plan year
Active participants |
65 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
48 |
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 |
2010-04-15 |
Name of individual signing |
DEREK HENNECKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|