SG FOREST TRACE, SPE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
270558192
|
2016-10-17
|
SG FOREST TRACE, SPE LLC
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
531110
|
Sponsor’s telephone number |
9545724708
|
Plan sponsor’s mailing address |
5500 NW 69TH AVE, LAUDERHILL, FL, 333197266
|
Plan sponsor’s
address |
5500 NW 69TH AVE, LAUDERHILL, FL, 333197266
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
PATTY DUBAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE
|
2012
|
270558192
|
2014-05-14
|
SG FOREST TRACE SPE LLC
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
9545724708
|
Plan
sponsor’s DBA name |
FOREST TRACE
|
Plan sponsor’s mailing address |
5500 NW 69 AVE., LAUDERHILL, FL, 33319
|
Plan sponsor’s
address |
5500 NW 69 AVE., LAUDERHILL, FL, 33319
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-14 |
Name of individual signing |
PATTY DUBAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHORT TERM DISABILITY
|
2012
|
270558192
|
2014-02-28
|
SG FOREST TRACE SPE LLC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
9545724708
|
Plan
sponsor’s DBA name |
FOREST TRACE
|
Plan sponsor’s mailing address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Plan sponsor’s
address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-02-28 |
Name of individual signing |
PATTY DUBAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-28 |
Name of individual signing |
PATTY DUBAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY PLAN
|
2012
|
270558192
|
2013-11-20
|
SG FOREST TRACE, SPE LLC
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
9545724708
|
Plan
sponsor’s DBA name |
FOREST TRACE
|
Plan sponsor’s mailing address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Plan sponsor’s
address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-11-20 |
Name of individual signing |
PATTY DUBAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY PLAN
|
2011
|
270558192
|
2013-11-20
|
SG FOREST TRACE, SPE LLC
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
9545724708
|
Plan
sponsor’s DBA name |
FOREST TRACE
|
Plan sponsor’s mailing address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Plan sponsor’s
address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Plan administrator’s name and address
Administrator’s EIN |
270558192 |
Plan administrator’s name |
SG FOREST TRACE, SPE LLC |
Plan administrator’s
address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319 |
Administrator’s telephone number |
9545724708 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-11-20 |
Name of individual signing |
PATTY DUBAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY PLAN
|
2009
|
270558192
|
2010-10-07
|
SG FOREST TRACE, SPE, LLC
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
9545721800
|
Plan
sponsor’s DBA name |
FOREST TRACE
|
Plan sponsor’s mailing address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Plan sponsor’s
address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319
|
Plan administrator’s name and address
Administrator’s EIN |
270558192 |
Plan administrator’s name |
SG FOREST TRACE, SPE, LLC |
Plan administrator’s
address |
5500 NW 69TH AVE, LAUDERHILL, FL, 33319 |
Administrator’s telephone number |
9545721800 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
CANDY RECHTSCHAFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|