|
BELLWETHER INSURANCE GROUP, LLC
|
2023
|
465588660
|
2024-02-19
|
BELLWETHER INSURANCE GROUP LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9548700094
|
| Plan sponsor’s
address |
225 SE 15TH TER, DEERFIELD BEACH, FL, 33441
|
Signature of
| Role |
Plan administrator |
| Date |
2024-02-19 |
| Name of individual signing |
SCOTT NEWHAUS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BELLWETHER INSURANCE GROUP, LLC
|
2022
|
465588660
|
2023-06-23
|
BELLWETHER INSURANCE GROUP LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9548700094
|
| Plan sponsor’s
address |
225 SE 15TH TER, DEERFIELD BEACH, FL, 33441
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-23 |
| Name of individual signing |
SANDRA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-06-23 |
| Name of individual signing |
SCOTT NEWHAUS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BELLWETHER INSURANCE GROUP, LLC
|
2022
|
465588660
|
2023-06-20
|
BELLWETHER INSURANCE GROUP LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-10-01
|
| Sponsor’s telephone number |
9548700094
|
| Plan sponsor’s
address |
225 SE 15TH TER, DEERFIELD BEACH, FL, 33441
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-20 |
| Name of individual signing |
SANDRA DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BELLWETHER INSURANCE GROUP, LLC
|
2022
|
465588660
|
2024-02-09
|
BELLWETHER INSURANCE GROUP LLC
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-10-01
|
| Sponsor’s telephone number |
9548700094
|
| Plan sponsor’s
address |
225 SE 15TH TER, DEERFIELD BEACH, FL, 33441
|
Signature of
| Role |
Plan administrator |
| Date |
2024-02-08 |
| Name of individual signing |
SCOTT NEWHAUS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BELLWETHER INSURANCE GROUP, LLC
|
2022
|
465588660
|
2023-06-13
|
BELLWETHER INSURANCE GROUP LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9548700094
|
| Plan sponsor’s
address |
225 SE 15TH TER, DEERFIELD BEACH, FL, 33441
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-13 |
| Name of individual signing |
SANDI DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BELLWETHER INSURANCE GROUP, LLC
|
2021
|
465588660
|
2023-06-13
|
BELLWETHER INSURANCE GROUP LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9548700094
|
| Plan sponsor’s
address |
225 SE 15TH TER, DEERFIELD BEACH, FL, 33441
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-13 |
| Name of individual signing |
SANDI DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BELLWETHER INSURANCE GROUP, LLC
|
2020
|
465588660
|
2023-06-13
|
BELLWETHER INSURANCE GROUP LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9548700094
|
| Plan sponsor’s
address |
225 SE 15TH TER, DEERFIELD BEACH, FL, 33441
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-13 |
| Name of individual signing |
SANDI DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
