|
QUALAWASH HOLDINGS, LLC HEALTH AND WELFARE PLANS
|
2019
|
270683851
|
2021-04-14
|
QUALAWASH HOLDINGS, LLC
|
561
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2009-11-01
|
| Business code |
562000
|
| Sponsor’s telephone number |
8133216483
|
| Plan sponsor’s mailing address |
500 N WEST SHORE BLVD, TAMPA, FL, 336095005
|
| Plan sponsor’s
address |
500 N WEST SHORE BLVD, TAMPA, FL, 336095005
|
Number of participants as of the end of the plan year
| Active participants |
776 |
| Retired or separated participants receiving
benefits |
5 |
Signature of
| Role |
Plan administrator |
| Date |
2021-04-14 |
| Name of individual signing |
PAUL WOODBURY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-04-14 |
| Name of individual signing |
PAUL WOODBURY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
QUALAWASH HOLDINGS, LLC 401(K) RETIREMENT PLAN 2
|
2019
|
270683851
|
2020-09-16
|
QUALAWASH HOLDINGS, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2019-01-01
|
| Business code |
562000
|
| Sponsor’s telephone number |
8133216483
|
| Plan sponsor’s
address |
500 N WESTSHORE BLVD, STE 435, TAMPA, FL, 33609
|
|
|
QUALAWASH HOLDINGS, LLC HEALTH AND WELFARE PLANS
|
2018
|
270683851
|
2020-06-22
|
QUALAWASH HOLDINGS, LLC
|
735
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2009-11-01
|
| Business code |
562000
|
| Sponsor’s telephone number |
8133216483
|
| Plan sponsor’s mailing address |
500 N WEST SHORE BLVD, TAMPA, FL, 33609
|
| Plan sponsor’s
address |
500 N WEST SHORE BLVD, TAMPA, FL, 336095005
|
Number of participants as of the end of the plan year
| Active participants |
560 |
| Retired or separated participants receiving
benefits |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2020-06-22 |
| Name of individual signing |
PAUL WOODBURY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-06-22 |
| Name of individual signing |
PAUL WOODBURY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
QUALAWASH HOLDINGS, LLC
|
2010
|
270683851
|
2012-05-22
|
QUALAWASH HOLDINGS, LLC
|
98
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2009-11-01
|
| Business code |
562000
|
| Sponsor’s telephone number |
8133216476
|
| Plan sponsor’s mailing address |
101 S. FRANKLIN STREET, SUITE 101, TAMPA, FL, 33602
|
| Plan sponsor’s
address |
101 S. FRANKLIN STREET, SUITE 101, TAMPA, FL, 33602
|
Plan administrator’s name and address
| Administrator’s EIN |
270683851 |
| Plan administrator’s name |
QUALAWASH HOLDINGS, LLC |
| Plan administrator’s
address |
101 S. FRANKLIN STREET, SUITE 101, TAMPA, FL, 33602 |
| Administrator’s telephone number |
8133216476 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2012-05-22 |
| Name of individual signing |
RITA BAUER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-05-22 |
| Name of individual signing |
RITA BAUER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
QUALAWASH HOLDINGS, LLC 401(K) RETIREMENT PLAN
|
2009
|
270683851
|
2010-10-06
|
QUALAWASH HOLDINGS, LLC
|
99
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-12-15
|
| Business code |
562000
|
| Sponsor’s telephone number |
8133216476
|
| Plan sponsor’s
address |
101 S. FRANKLIN STREET, SUITE 101, TAMPA, FL, 33602
|
Plan administrator’s name and address
| Administrator’s EIN |
270683851 |
| Plan administrator’s name |
QUALAWASH HOLDINGS, LLC |
| Plan administrator’s
address |
101 S. FRANKLIN STREET, SUITE 101, TAMPA, FL, 33602 |
| Administrator’s telephone number |
8133216476 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
RITA BAUER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-06 |
| Name of individual signing |
RITA BAUER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
