|
MASSALINE REST. GRP. (WELFARE PLAN)
|
2022
|
474626201
|
2023-07-27
|
MASSALINA RESTAURANT GROUP, LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
951
|
| Effective date of plan |
2019-09-01
|
| Business code |
722511
|
| Sponsor’s telephone number |
7707109839
|
| Plan sponsor’s
address |
112 EAST 3RD COURT, PANAMA CITY, FL, 32401
|
Plan administrator’s name and address
| Administrator’s EIN |
472506773 |
| Plan administrator’s name |
KENNION & CO LLC |
| Plan administrator’s
address |
2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number |
8669665457 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-19 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-07-19 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MASSALINE REST. GRP. (WELFARE PLAN)
|
2021
|
474626201
|
2022-07-29
|
MASSALINA RESTAURANT GROUP, LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
951
|
| Effective date of plan |
2019-09-01
|
| Business code |
722511
|
| Sponsor’s telephone number |
7707109839
|
| Plan sponsor’s
address |
112 EAST 3RD COURT, PANAMA CITY, FL, 32401
|
Plan administrator’s name and address
| Administrator’s EIN |
472506773 |
| Plan administrator’s name |
KENNION & CO LLC |
| Plan administrator’s
address |
2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number |
8669665457 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-19 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-07-19 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MASSALINE REST. GRP. (WELFARE PLAN)
|
2020
|
474626201
|
2021-07-25
|
MASSALINA RESTAURANT GROUP, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
951
|
| Effective date of plan |
2019-09-01
|
| Business code |
722511
|
| Sponsor’s telephone number |
7707109839
|
| Plan sponsor’s
address |
112 EAST 3RD COURT, PANAMA CITY, FL, 32401
|
Plan administrator’s name and address
| Administrator’s EIN |
472506773 |
| Plan administrator’s name |
KENNION & CO LLC |
| Plan administrator’s
address |
2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number |
8669665457 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-20 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-20 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MASSALINE REST. GRP. (WELFARE PLAN)
|
2019
|
474626201
|
2020-07-30
|
MASSALINA RESTAURANT GROUP, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
951
|
| Effective date of plan |
2019-09-01
|
| Business code |
722511
|
| Sponsor’s telephone number |
7707109839
|
| Plan sponsor’s
address |
112 EAST 3RD COURT, PANAMA CITY, FL, 32401
|
Plan administrator’s name and address
| Administrator’s EIN |
472506773 |
| Plan administrator’s name |
KENNION & CO LLC |
| Plan administrator’s
address |
800 CORPORATE PKWY STE 100, BIRMINGHAM, AL, 35242 |
| Administrator’s telephone number |
8669665457 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-30 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-30 |
| Name of individual signing |
W. HAL SHEPHERD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
