COADVANTAGE RESOURCES 23, INC. WELFARE BENEFITS PLAN
|
2017
|
202052331
|
2019-07-08
|
COADVANTAGE RESOURCES 23, INC
|
387
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-10-02
|
Business code |
561300
|
Sponsor’s telephone number |
8008681016
|
Plan sponsor’s mailing address |
3350 BUSCHWOOD PARK DR STE 200, TAMPA, FL, 336184313
|
Plan sponsor’s
address |
3350 BUSCHWOOD PARK DR STE 200, TAMPA, FL, 336184313
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-08 |
Name of individual signing |
PETER GRABOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-08 |
Name of individual signing |
PETER GRABOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COADVANTAGE RESOURCES 23, INC. WELFARE BENEFITS PLAN
|
2016
|
202052331
|
2018-07-16
|
COADVANTAGE RESOURCES 23, INC
|
457
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-10-02
|
Business code |
561300
|
Sponsor’s telephone number |
8008681016
|
Plan sponsor’s mailing address |
3350 BUSCHWOOD PARK DR STE 200, TAMPA, FL, 336184313
|
Plan sponsor’s
address |
3350 BUSCHWOOD PARK DR STE 200, TAMPA, FL, 336184313
|
Number of participants as of the end of the plan year
Active participants |
387 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
PETER GRABOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-16 |
Name of individual signing |
PETER GRABOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COADVANTAGE RESOURCES 23, INC. WELFARE BENEFITS PLAN
|
2015
|
202052331
|
2017-07-13
|
COADVANTAGE RESOURCES 23, INC.
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-10-01
|
Business code |
561300
|
Sponsor’s telephone number |
8008681016
|
Plan sponsor’s mailing address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Plan sponsor’s
address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Number of participants as of the end of the plan year
Active participants |
455 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
MIGUEL MASEDA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COADVANTAGE RESOURCES 23, INC. WELFARE BENEFITS PLAN
|
2014
|
202052331
|
2016-07-15
|
COADVANTAGE RESOURCES 23, INC.
|
239
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-10-01
|
Business code |
561300
|
Sponsor’s telephone number |
8008681016
|
Plan sponsor’s mailing address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Plan sponsor’s
address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Number of participants as of the end of the plan year
Active participants |
335 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
JEFFREY MARSHALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COADVANTAGE RESOURCES 23, INC. WELFARE BENEFITS PLAN
|
2013
|
202052331
|
2015-07-15
|
COADVANTAGE RESOURCES 23, INC.
|
192
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-10-01
|
Business code |
561300
|
Sponsor’s telephone number |
8008681016
|
Plan sponsor’s mailing address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Plan sponsor’s
address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Number of participants as of the end of the plan year
Active participants |
231 |
Retired or separated participants receiving
benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
JEFFREY SJOBECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COADVANTAGE RESOURCES 23, INC. WELFARE BENEFITS PLAN
|
2012
|
202052331
|
2014-07-15
|
COADVANTAGE RESOURCES 23, INC.
|
208
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-10-01
|
Business code |
561300
|
Sponsor’s telephone number |
8008681016
|
Plan sponsor’s mailing address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Plan sponsor’s
address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Number of participants as of the end of the plan year
Active participants |
184 |
Retired or separated participants receiving
benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2014-07-15 |
Name of individual signing |
JEFFREY SJOBECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COADVANTAGE RESOURCES 23, INC. WELFARE BENEFITS PLAN
|
2011
|
202052331
|
2013-07-11
|
COADVANTAGE RESOURCES 23, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-10-01
|
Business code |
541214
|
Sponsor’s telephone number |
8139352000
|
Plan
sponsor’s DBA name |
COADVANTAGE
|
Plan sponsor’s mailing address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Plan sponsor’s
address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618
|
Plan administrator’s name and address
Administrator’s EIN |
202052331 |
Plan administrator’s name |
COADVANTAGE RESOURCES 23, INC. |
Plan administrator’s
address |
3350 BUSCHWOOD PARK DRIVE, SUITE 200, TAMPA, FL, 33618 |
Administrator’s telephone number |
8139352000 |
Number of participants as of the end of the plan year
Active participants |
198 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
KAREN KANGARI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
MARK LOWREY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|