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SIGNATURE BENEFIT SOLUTIONS, INC.

Company Details

Entity Name: SIGNATURE BENEFIT SOLUTIONS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 03 Jun 2005 (20 years ago)
Document Number: P05000081265
FEI/EIN Number 14-1931794
Address: 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL 33618
Mail Address: 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL 33618
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2020 141931794 2021-10-07 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2019 141931794 2020-10-15 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2018 141931794 2019-10-08 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2017 141931794 2018-02-02 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2016 141931794 2018-01-31 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2015 141931794 2016-10-13 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2014 141931794 2015-10-15 SIGNATURE BENEFIT SOLUTIONS, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing PERWAIZ RAHIM
Valid signature Filed with authorized/valid electronic signature
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2014 141931794 2015-12-10 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8136053600
Plan sponsor’s address 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL, 33618

Signature of

Role Plan administrator
Date 2015-12-10
Name of individual signing MICHAEL YOUNG
Valid signature Filed with authorized/valid electronic signature
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2013 141931794 2014-10-15 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8139499500
Plan sponsor’s address 18844 DALE MABRY HIGHWAY NORTH, LUTZ, FL, 33548

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing RANDALL TATA
Valid signature Filed with authorized/valid electronic signature
SIGNATURE BENEFIT SOLUTIONS, INC. 401(K) PLAN 2012 141931794 2013-10-14 SIGNATURE BENEFIT SOLUTIONS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524290
Sponsor’s telephone number 8139499500
Plan sponsor’s address 18844 DALE MABRY HIGHWAY NORTH, LUTZ, FL, 33548

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing RANDALL TATA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

President

Name Role Address
TATA, RANDALL D President 12000 NORTH DALE MABRY HIGHWAY, SUITE 110 TAMPA, FL 33618

Treasurer

Name Role Address
TATA, RANDALL D Treasurer 12000 NORTH DALE MABRY HIGHWAY, SUITE 110 TAMPA, FL 33618

Director

Name Role Address
TATA, RANDALL D Director 12000 NORTH DALE MABRY HIGHWAY, SUITE 110 TAMPA, FL 33618
YOUNG, MICHAEL Director 12000 NORTH DALE MABRY HIGHWAY, SUITE 110 TAMPA, FL 33618

Vice President

Name Role Address
YOUNG, MICHAEL Vice President 12000 NORTH DALE MABRY HIGHWAY, SUITE 110 TAMPA, FL 33618

Secretary

Name Role Address
YOUNG, MICHAEL Secretary 12000 NORTH DALE MABRY HIGHWAY, SUITE 110 TAMPA, FL 33618

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-30 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL 33618 No data
CHANGE OF MAILING ADDRESS 2015-04-30 12000 NORTH DALE MABRY HIGHWAY, SUITE 110, TAMPA, FL 33618 No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-30

Date of last update: 28 Jan 2025

Sources: Florida Department of State