BTB REFINING, LLC RETIREMENT PLAN
|
2020
|
261548150
|
2021-07-22
|
BTB REFINING, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-07-07
|
Business code |
324110
|
Sponsor’s telephone number |
8505133375
|
Plan sponsor’s
address |
25 SEABREEZE AVENUE, SUITE 300, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
341781113 |
Plan administrator’s name |
AMI BENEFIT PLAN ADMINISTRATORS INC |
Plan administrator’s
address |
100 TERRA BELLA DRIVE, YOUNGSTOWN, OH, 44505 |
Administrator’s telephone number |
3304069021 |
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
CHARLES DURKOT, E.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
CHARLES DURKOT, E.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BTB REFINING, LLC RETIREMENT PLAN
|
2020
|
261548150
|
2021-09-08
|
BTB REFINING, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-07-07
|
Business code |
324110
|
Sponsor’s telephone number |
8505133375
|
Plan sponsor’s
address |
25 SEABREEZE AVENUE SUITE 300, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
341781113 |
Plan administrator’s name |
AMI BENEFIT PLAN ADMINISTRATORS INC |
Plan administrator’s
address |
100 TERRA BELLA DRIVE, YOUNGSTOWN, OH, 44505 |
Administrator’s telephone number |
3304069021 |
Signature of
Role |
Plan administrator |
Date |
2021-09-08 |
Name of individual signing |
CHARLES DURKOT, E.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-08 |
Name of individual signing |
CHARLES DURKOT, E.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BTB REFINING, LLC RETIREMENT PLAN
|
2019
|
261548150
|
2020-10-14
|
BTB REFINING, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-07-07
|
Business code |
324110
|
Sponsor’s telephone number |
8505133375
|
Plan sponsor’s
address |
25 SEABREEZE AVENUE, SUITE 300, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
Administrator’s EIN |
341781113 |
Plan administrator’s name |
AMI BENEFIT PLAN ADMINISTRATORS INC |
Plan administrator’s
address |
100 TERRA BELLA DRIVE, YOUNGSTOWN, OH, 44505 |
Administrator’s telephone number |
3304069021 |
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
CHARLES DURKOT, E.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-14 |
Name of individual signing |
CHARLES DURKOT, E.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BTB REFINING, LLC RETIREMENT PLAN
|
2010
|
261548150
|
2011-06-06
|
BTB REFINING, LLC
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-07-07
|
Business code |
324110
|
Sponsor’s telephone number |
5613475500
|
Plan sponsor’s mailing address |
ONE NORTH FEDERAL HIGHWAY, SUITE 500, BOCA RATON, FL, 33432
|
Plan sponsor’s
address |
ONE NORTH FEDERAL HIGHWAY, SUITE 500, BOCA RATON, FL, 33432
|
Plan administrator’s name and address
Administrator’s EIN |
261548150 |
Plan administrator’s name |
BTB REFINING, LLC |
Plan administrator’s
address |
ONE NORTH FEDERAL HIGHWAY, SUITE 500, BOCA RATON, FL, 33432 |
Administrator’s telephone number |
5613475500 |
Number of participants as of the end of the plan year
Active participants |
41 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
34 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
KEVIN KIRKEIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BTB REFINING, LLC RETIREMENT PLAN
|
2009
|
261548150
|
2010-10-05
|
BTB REFINING, LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-07-07
|
Business code |
324110
|
Sponsor’s telephone number |
5613475500
|
Plan sponsor’s mailing address |
1 NORTH FEDERAL HIGHWAY, STE 500, BOCA RATON, FL, 33432
|
Plan sponsor’s
address |
1 NORTH FEDERAL HIGHWAY, STE 500, BOCA RATON, FL, 33432
|
Plan administrator’s name and address
Administrator’s EIN |
261548150 |
Plan administrator’s name |
BTB REFINING, LLC |
Plan administrator’s
address |
1 NORTH FEDERAL HIGHWAY, STE 500, BOCA RATON, FL, 33432 |
Administrator’s telephone number |
5613475500 |
Number of participants as of the end of the plan year
Active participants |
43 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
38 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
KEVIN KIRKEIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|