BUFFALO LODGING ASSOCIATES, LLC DENTAL PLAN
|
2017
|
161585175
|
2018-07-28
|
BUFFALO LODGING ASSOCIATES, LLC
|
526
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
Plan sponsor’s mailing address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Plan sponsor’s
address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC LIFE INSURANCE PLAN
|
2017
|
161585175
|
2018-07-28
|
BUFFALO LODGING ASSOCIATES, LLC
|
994
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
Plan sponsor’s mailing address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Plan sponsor’s
address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC HEALTH INSURANCE PLAN
|
2017
|
161585175
|
2018-07-28
|
BUFFALO LODGING ASSOCIATES, LLC
|
455
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
Plan sponsor’s mailing address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Plan sponsor’s
address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC FLEXIBLE BENEFIT PLAN
|
2017
|
161585175
|
2018-07-28
|
BUFFALO LODGING ASSOCIATES, LLC
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
Plan sponsor’s mailing address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Plan sponsor’s
address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-28 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC SHORT TERM DISABILITY PLAN
|
2017
|
161585175
|
2018-07-27
|
BUFFALO LODGING ASSOCIATES, LLC
|
715
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
Plan sponsor’s mailing address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Plan sponsor’s
address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012139
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO LODGING ASSOCIATES, LLC FLEXIOBLE BENEFIT PLAN
|
2016
|
161585175
|
2017-07-21
|
BUFFALO LODGING ASSOCIATES, LLC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-02-29
|
Business code |
721110
|
Sponsor’s telephone number |
7168789369
|
Plan sponsor’s mailing address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012141
|
Plan sponsor’s
address |
7978 COOPER CREEK BLVD, UNIVERSITY PARK, FL, 342012141
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-21 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-21 |
Name of individual signing |
PAUL SPEAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|