SAFEPOINT MGA, LLC HEALTH & WELFARE BENEFIT PLAN
|
2022
|
462941255
|
2024-01-16
|
SAFEPOINT MGA, LLC
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan sponsor’s mailing address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Plan sponsor’s
address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Number of participants as of the end of the plan year
|
SAFEPOINT MGA, LLC HEALTH & WELFARE BENEFIT PLAN
|
2021
|
462941255
|
2022-12-07
|
SAFEPOINT MGA, LLC
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan sponsor’s mailing address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Plan sponsor’s
address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Number of participants as of the end of the plan year
Active participants |
152 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
|
SAFEPOINT MGA, LLC HEALTH & WELFARE BENEFIT PLAN
|
2020
|
462941255
|
2021-12-30
|
SAFEPOINT MGA, LLC
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan sponsor’s mailing address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Plan sponsor’s
address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Number of participants as of the end of the plan year
Active participants |
133 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
|
SAFEPOINT MGA, LLC HEALTH & WELFARE BENEFIT PLAN
|
2020
|
462941255
|
2021-12-29
|
SAFEPOINT MGA, LLC
|
133
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan sponsor’s mailing address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Plan sponsor’s
address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Number of participants as of the end of the plan year
Active participants |
133 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
|
SAFEPOINT MGA, LLC FLEXIBLE SPENDING
|
2019
|
462941255
|
2021-09-27
|
SAFEPOINT MGA, LLC
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan
sponsor’s DBA name |
SAFEPOINT MGA, LLC
|
Plan sponsor’s mailing address |
12640 TELECOM DRIVE., TAMPA, FL, 33637
|
Plan sponsor’s
address |
12640 TELECOM DRIVE., TAMPA, FL, 33637
|
Number of participants as of the end of the plan year
Active participants |
119 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-09-27 |
Name of individual signing |
GLENNON REIDLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAFEPOINT MGA, LLC FLEXIBLE SPENDING
|
2019
|
462941255
|
2021-01-06
|
SAFEPOINT MGA, LLC
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan
sponsor’s DBA name |
SAFEPOINT MGA, LLC
|
Plan sponsor’s mailing address |
12640 TELECOM DRIVE., TAMPA, FL, 33637
|
Plan sponsor’s
address |
12640 TELECOM DRIVE., TAMPA, FL, 33637
|
Number of participants as of the end of the plan year
Active participants |
119 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-01-06 |
Name of individual signing |
GLENNON REIDLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAFEPOINT MGA, LLC HEALTH & WELFARE BENEFIT PLAN
|
2019
|
462941255
|
2020-12-30
|
SAFEPOINT MGA, LLC
|
123
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan sponsor’s mailing address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Plan sponsor’s
address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Number of participants as of the end of the plan year
Active participants |
123 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
|
SAFEPOINT MGA, LLC 401(K) PLAN
|
2018
|
462941255
|
2019-10-14
|
SAFEPOINT MGA, LLC
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8134356407
|
Plan sponsor’s
address |
12640 TELECOM DRIVE, TEMPLE TERRACE, FL, 33637
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
STEVE HOFFMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAFEPOINT MGA, LLC HEALTH & WELFARE BENEFIT PLAN
|
2018
|
462941255
|
2020-02-20
|
SAFEPOINT MGA, LLC
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-07-01
|
Business code |
524210
|
Sponsor’s telephone number |
8135279648
|
Plan sponsor’s mailing address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Plan sponsor’s
address |
12640 TELECOM DR, TEMPLE TERRACE, FL, 336370935
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-02-20 |
Name of individual signing |
GLENNON REIDLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-20 |
Name of individual signing |
GLENNON REIDLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAFEPOINT MGA, LLC 401(K) PLAN
|
2017
|
462941255
|
2018-10-12
|
SAFEPOINT MGA, LLC
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8134356409
|
Plan sponsor’s
address |
12640 TELECOM DRIVE, TEMPLE TERRACE, FL, 33637
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
JOHN BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|