HSA 401(K) PLAN
|
2023
|
592855013
|
2024-10-14
|
HSA ENTERPRISES, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DRIVE, SUITE 505, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA 401(K) PLAN
|
2022
|
592855013
|
2023-06-22
|
HSA ENTERPRISES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DRIVE, SUITE 505, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2023-06-22 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA 401(K) PLAN
|
2021
|
592855013
|
2022-08-25
|
HSA ENTERPRISES, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DRIVE, SUITE 505, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2022-08-25 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-25 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA 401(K) PLAN
|
2020
|
592855013
|
2021-09-29
|
HSA ENTERPRISES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DRIVE, SUITE 505, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2021-09-29 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-29 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA 401(K) PLAN
|
2019
|
592855013
|
2020-08-30
|
HSA ENTERPRISES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DRIVE, SUITE 505, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2020-08-30 |
Name of individual signing |
MAURICEVAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-30 |
Name of individual signing |
MAURICEVAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA 401(K) PLAN
|
2018
|
592855013
|
2019-09-18
|
HSA ENTERPRISES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DRIVE, SUITE 505, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-18 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA 401(K) PLAN
|
2017
|
592855013
|
2018-07-25
|
HSA ENTERPRISES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DRIVE, SUITE 505, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-25 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA-PRINCIPAL 401(K) PLAN
|
2016
|
592855013
|
2017-04-11
|
HSA ENTERPRISES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
7300 N KENDALL DR, SUITE 505, MIAMI, FL, 331567840
|
Signature of
Role |
Plan administrator |
Date |
2017-04-11 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-11 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA-PRINCIPAL 401(K) PLAN
|
2015
|
592855013
|
2016-07-14
|
HSA ENTERPRISES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
9350 S DIXIE HIGHWAY #1470, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-14 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSA-PRINCIPAL 401(K) PLAN
|
2014
|
592855013
|
2016-08-09
|
HSA ENTERPRISES, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
3056703130
|
Plan sponsor’s
address |
9350 S DIXIE HIGHWAY #1470, MIAMI, FL, 331563315
|
Signature of
Role |
Plan administrator |
Date |
2016-08-09 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-09 |
Name of individual signing |
MAURICE VAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|