|
YOUNGQUIST BROTHERS, LLC DENTAL AND VISION
|
2022
|
591836961
|
2024-02-27
|
YOUNGQUIST BROTHERS LLC
|
134
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2022-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
2394894444
|
| Plan sponsor’s mailing address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
| Plan sponsor’s
address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2024-02-27 |
| Name of individual signing |
JEAN HENDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
YOUNGQUIST BROTHERS, LLC EMPLOYEE HEALTH PLAN
|
2022
|
591836961
|
2024-02-27
|
YOUNGQUIST BROTHERS LLC
|
128
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2014-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
2394894444
|
| Plan sponsor’s mailing address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
| Plan sponsor’s
address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2024-02-27 |
| Name of individual signing |
JEAN HENDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
YOUNGQUIST BROTHERS DENTAL VISION PLAN
|
2021
|
591836961
|
2023-08-29
|
YOUNGQUIST BROTHERS LLC
|
219
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2018-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
2394894444
|
| Plan sponsor’s mailing address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
| Plan sponsor’s
address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2023-08-29 |
| Name of individual signing |
JEAN HENDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
YOUNGQUIST BROTHERS EMPLOYEE HEALTH PLAN
|
2021
|
591836961
|
2023-08-29
|
YOUNGQUIST BROTHERS LLC
|
116
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2014-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
2394894444
|
| Plan sponsor’s mailing address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
| Plan sponsor’s
address |
15465 PINE RIDGE RD, FORT MYERS, FL, 339082630
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2023-08-29 |
| Name of individual signing |
JEAN HENDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
