|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC
|
2020
|
593297510
|
2021-07-08
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 325033558
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-08 |
| Name of individual signing |
RAVEN HOLLOWAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-08 |
| Name of individual signing |
RAVEN HOLLOWAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
2019
|
593297510
|
2020-07-29
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 325033558
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-29 |
| Name of individual signing |
ARDYE GRAHAM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
2018
|
593297510
|
2020-07-29
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 325033558
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-29 |
| Name of individual signing |
ARDYE GRAHAM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WEST FLORIDA INC
|
2017
|
593297510
|
2018-07-31
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA INC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 325033558
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-31 |
| Name of individual signing |
JASON GRILLS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WESTFLORIDA, INC.
|
2016
|
593297510
|
2017-07-12
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 32503
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-12 |
| Name of individual signing |
BECKY KIRSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-07-12 |
| Name of individual signing |
BECKY KIRSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WESTFLORIDA, INC.
|
2015
|
593297510
|
2016-09-28
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 32503
|
Signature of
| Role |
Plan administrator |
| Date |
2016-09-28 |
| Name of individual signing |
BECKY KIRSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-09-28 |
| Name of individual signing |
BECKY KIRSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WESTFLORIDA, INC.
|
2014
|
593297510
|
2015-07-28
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 32503
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-28 |
| Name of individual signing |
BECKY KIRSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WESTFLORIDA, INC.
|
2013
|
593297510
|
2014-07-31
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 32503
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-31 |
| Name of individual signing |
BECKY KIRSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF INDEPENDENCE FOR THE BLIND OF WESTFLORIDA, INC.
|
2012
|
593297510
|
2013-08-12
|
INDEPENDENCE FOR THE BLIND OF WEST FLORIDA, INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-12-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
8504772663
|
| Plan sponsor’s
address |
3107 N DAVIS HWY, PENSACOLA, FL, 32503
|
Signature of
| Role |
Plan administrator |
| Date |
2013-08-12 |
| Name of individual signing |
BECKY KIRSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
