|
OBREGON INSURANCE
|
2023
|
271156119
|
2024-05-28
|
OBREGON INSURANCE CORP
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052656226
|
| Plan sponsor’s
address |
1740 SW 57 AVE, MIAMI, FL, 33155
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-28 |
| Name of individual signing |
ANA OBREGON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBREGON INSURANCE
|
2022
|
271156119
|
2023-05-30
|
OBREGON INSURANCE CORP
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052656226
|
| Plan sponsor’s
address |
1740 SW 57 AVE, MIAMI, FL, 33155
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-30 |
| Name of individual signing |
ANA OBREGON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBREGON INSURANCE
|
2021
|
271156119
|
2022-05-23
|
OBREGON INSURANCE CORP
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052656226
|
| Plan sponsor’s
address |
1740 SW 57 AVE, MIAMI, FL, 33155
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-23 |
| Name of individual signing |
ANA OBREGON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBREGON INSURANCE
|
2020
|
271156119
|
2021-06-24
|
OBREGON INSURANCE CORP
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052656226
|
| Plan sponsor’s
address |
1740 SW 57 AVE, MIAMI, FL, 33155
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-24 |
| Name of individual signing |
ANA OBREGON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OBREGON INSURANCE
|
2019
|
271156119
|
2021-06-24
|
OBREGON INSURANCE CORP
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052656226
|
| Plan sponsor’s
address |
1740 SW 57 AVE, MIAMI, FL, 33155
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-24 |
| Name of individual signing |
ANA OBREGON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
