PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2023
|
592538042
|
2024-09-16
|
PEGASUS TECHNOLOGIES INC
|
233
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2023-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042974666
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-09-16 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-16 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2022
|
592538042
|
2023-07-28
|
PEGASUS TECHNOLOGIES INC
|
249
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2022-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042974666
|
Plan
sponsor’s DBA name |
PEGASUS TECHNOLOGIES INC
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-28 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-28 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2021
|
592538042
|
2022-07-28
|
PEGASUS TECHNOLOGIES INC
|
259
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042974666
|
Plan
sponsor’s DBA name |
PEGASUS TECHNOLOGIES INC
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-28 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2020
|
592538042
|
2021-07-23
|
PEGASUS TECHNOLOGIES INC
|
262
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042974666
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-23 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2019
|
592538042
|
2020-07-29
|
PEGASUS TECHNOLOGIES INC
|
243
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042974666
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2018
|
592538042
|
2019-07-31
|
PEGASUS TECHNOLOGIES INC
|
224
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042974666
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 32043
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 32043
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2017
|
592538042
|
2018-07-31
|
PEGASUS TECHNOLOGIES INC
|
209
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042842490
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-31 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2016
|
592538042
|
2017-08-01
|
PEGASUS TECHNOLOGIES INC
|
209
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042842490
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-08-01 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-01 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2015
|
592538042
|
2016-07-26
|
PEGASUS TECHNOLOGIES INC
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042842490
|
Plan sponsor’s mailing address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Plan sponsor’s
address |
932 PILOT DR, GREEN COVE SPRINGS, FL, 320438355
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEGASUS TECHNOLOGIES INC HEALTHCARE PLAN
|
2014
|
592538042
|
2015-07-29
|
PEGASUS TECHNOLOGIES INC
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
481000
|
Sponsor’s telephone number |
9042842490
|
Plan sponsor’s mailing address |
932 PILOT DRIVE, GREEN COVE SPRINGS, FL, 32043
|
Plan sponsor’s
address |
932 PILOT DRIVE, GREEN COVE SPRINGS, FL, 32043
|
Number of participants as of the end of the plan year
Active participants |
170 |
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 that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
JEFFREY HEYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|