WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2021
|
593254198
|
2022-09-15
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERDON BLVD STE B1, CRESTVIEW, FL, 325364900
|
Signature of
Role |
Plan administrator |
Date |
2022-09-08 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2020
|
593254198
|
2021-08-16
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERDON BLVD STE B1, CRESTVIEW, FL, 325364900
|
Signature of
Role |
Plan administrator |
Date |
2021-08-13 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2019
|
593254198
|
2020-09-21
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERDON BLVD STE B1, CRESTVIEW, FL, 325364900
|
Signature of
Role |
Plan administrator |
Date |
2020-09-21 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2018
|
593254198
|
2019-09-25
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERDON BLVD STE B1, CRESTVIEW, FL, 325364900
|
Signature of
Role |
Plan administrator |
Date |
2019-09-24 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-24 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2017
|
593254198
|
2018-09-21
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERDON BLVD STE B1, CRESTVIEW, FL, 325364900
|
Signature of
Role |
Plan administrator |
Date |
2018-09-21 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2016
|
593254198
|
2017-07-17
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERDON BLVD STE B1, CRESTVIEW, FL, 325364900
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2015
|
593254198
|
2016-09-09
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERDON BLVD STE B1, CRESTVIEW, FL, 325364900
|
Signature of
Role |
Plan administrator |
Date |
2016-09-09 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-09 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2014
|
593254198
|
2015-12-03
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERNDON BLVD, SUITE B-1, CRESTVIEW, FL, 32536
|
Signature of
Role |
Plan administrator |
Date |
2015-12-03 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2013
|
593254198
|
2015-12-03
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERNDON BLVD, SUITE B-1, CRESTVIEW, FL, 32536
|
Signature of
Role |
Plan administrator |
Date |
2015-12-03 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA AREA HEALTH EDUCATION CTR
|
2012
|
593254198
|
2015-12-03
|
WEST FLORIDA AREA HEALTH EDUCATION CENTER
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
8506822552
|
Plan sponsor’s
address |
1455 S FERNDON BLVD, SUITE B-1, CRESTVIEW, FL, 32536
|
Signature of
Role |
Plan administrator |
Date |
2015-12-03 |
Name of individual signing |
PAIGE COLLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|