BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2020
|
650316363
|
2022-11-21
|
BROWARD HEALTHY START COALITION INC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
4620 N STATE ROAD 7, BLDG H, STE 102, LAUDERDALE LAKES, FL, 333195865
|
Signature of
Role |
Plan administrator |
Date |
2022-11-21 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2019
|
650316363
|
2020-11-19
|
BROWARD HEALTHY START COALITION INC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
4620 N STATE ROAD 7, BLDG H, STE 102, LAUDERDALE LAKES, FL, 333195865
|
Signature of
Role |
Plan administrator |
Date |
2020-11-19 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-19 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2018
|
650316363
|
2019-12-06
|
BROWARD HEALTHY START COALITION INC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6301 NW 5 WAY, STE 5000, FORT LAUDERDALE, FL, 33309
|
Signature of
Role |
Plan administrator |
Date |
2019-12-06 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-12-06 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2017
|
650316363
|
2018-11-06
|
BROWARD HEALTHY START COALITION INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-12
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6301 NW 5 WAY STE 5000, FORT LAUDERDALE, FL, 33309
|
Signature of
Role |
Plan administrator |
Date |
2018-11-06 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-06 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2016
|
650316363
|
2017-10-25
|
BROWARD HEALTHY START COALITION, INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309
|
Signature of
Role |
Plan administrator |
Date |
2017-10-25 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-25 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2015
|
650316363
|
2016-11-07
|
BROWARD HEALTHY START COALITION, INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309
|
Signature of
Role |
Plan administrator |
Date |
2016-11-07 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-11-07 |
Name of individual signing |
MICHELE BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2014
|
650316363
|
2016-01-08
|
BROWARD HEALTHY START COALITION, INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309
|
Signature of
Role |
Plan administrator |
Date |
2016-01-08 |
Name of individual signing |
SUZANNE MARCELLOI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-08 |
Name of individual signing |
SUZANNE MARCELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2013
|
650316363
|
2014-12-11
|
BROWARD HEALTHY START COALITION, INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309
|
Signature of
Role |
Plan administrator |
Date |
2014-12-11 |
Name of individual signing |
SUZANNE MARCELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2011
|
650316363
|
2012-11-14
|
BROWARD HEALTHY START COALITION, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309
|
Plan administrator’s name and address
Administrator’s EIN |
650316363 |
Plan administrator’s name |
BROWARD HEALTHY START COALITION, INC. |
Plan administrator’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309 |
Administrator’s telephone number |
9545637583 |
Signature of
Role |
Plan administrator |
Date |
2012-11-14 |
Name of individual signing |
SUZANNE MARCELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROWARD HEALTHY START COALITION, INC. 403(B) PLAN
|
2010
|
650316363
|
2011-09-29
|
BROWARD HEALTHY START COALITION, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-12-01
|
Business code |
624100
|
Sponsor’s telephone number |
9545637583
|
Plan sponsor’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309
|
Plan administrator’s name and address
Administrator’s EIN |
650316363 |
Plan administrator’s name |
BROWARD HEALTHY START COALITION, INC. |
Plan administrator’s
address |
6555 POWERLINE RD.STE 304, FORT LAUDERDALE, FL, 33309 |
Administrator’s telephone number |
9545637583 |
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
SUZANNE MARCELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|