PHASE THREE STAR HEATH AND WELFARE PLAN
|
2022
|
463080935
|
2024-03-01
|
PHASE THREE STAR, LLC
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-09-01
|
Business code |
722513
|
Sponsor’s telephone number |
8008314121
|
Plan sponsor’s mailing address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Plan sponsor’s
address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
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 |
Signature of
Role |
Plan administrator |
Date |
2024-03-01 |
Name of individual signing |
CHRISTINA TONGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHASE THREE STAR HEATH AND WELFARE PLAN
|
2021
|
463080935
|
2023-03-30
|
PHASE THREE STAR, LLC
|
143
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-09-01
|
Business code |
722513
|
Sponsor’s telephone number |
8008314121
|
Plan sponsor’s mailing address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Plan sponsor’s
address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
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 |
Signature of
Role |
Plan administrator |
Date |
2023-03-30 |
Name of individual signing |
CHRISTINA TONGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHASE THREE STAR HEATH AND WELFARE PLAN
|
2020
|
463080935
|
2022-03-17
|
PHASE THREE STAR, LLC
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-09-01
|
Business code |
722513
|
Sponsor’s telephone number |
8008314121
|
Plan sponsor’s mailing address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Plan sponsor’s
address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-03-17 |
Name of individual signing |
CHRISTINA TONGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHASE THREE STAR HEATH AND WELFARE PLAN
|
2020
|
463080935
|
2021-02-25
|
PHASE THREE STAR, LLC
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-09-01
|
Business code |
722513
|
Sponsor’s telephone number |
8008314121
|
Plan sponsor’s mailing address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Plan sponsor’s
address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-02-24 |
Name of individual signing |
CHRISTINA TONGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHASE THREE STAR HEATH AND WELFARE PLAN
|
2019
|
463080935
|
2021-02-25
|
PHASE THREE STAR, LLC
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-09-01
|
Business code |
722513
|
Sponsor’s telephone number |
8008314121
|
Plan sponsor’s mailing address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Plan sponsor’s
address |
4029 HENDERSON BLVD, TAMPA, FL, 336294939
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-02-24 |
Name of individual signing |
CHRISTINA TONGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|