FLORIDA 595 TRAVEL CENTER 401(K) P/S PLAN
|
2023
|
273142947
|
2024-11-01
|
FLORIDA 595 TRAVEL CENTER
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
447100
|
Sponsor’s telephone number |
9543571480
|
Plan sponsor’s
address |
2705 BURRIS RD, FORT LAUDERDALE, FL, 33314
|
Signature of
Role |
Plan administrator |
Date |
2024-11-01 |
Name of individual signing |
STEVEN BRAUSER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA 595 TRAVEL CENTER 401(K) P/S PLAN
|
2023
|
273142947
|
2024-11-01
|
FLORIDA 595 TRAVEL CENTER
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
447100
|
Sponsor’s telephone number |
9543571480
|
Plan sponsor’s
address |
2705 BURRIS RD, FORT LAUDERDALE, FL, 33314
|
Signature of
Role |
Plan administrator |
Date |
2024-11-01 |
Name of individual signing |
STEVEN BRAUSER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA 595 TRAVEL CENTER 401(K) P/S PLAN
|
2022
|
273142947
|
2023-07-16
|
FLORIDA 595 TRAVEL CENTER
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
447100
|
Sponsor’s telephone number |
9543571480
|
Plan sponsor’s
address |
2705 BURRIS ROAD, DAVIE, FL, 33314
|
Signature of
Role |
Plan administrator |
Date |
2023-07-16 |
Name of individual signing |
STEVEN BRAUSER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA 595 TRAVEL CENTER 401(K) P/S PLAN
|
2021
|
273142947
|
2022-07-12
|
FLORIDA 595 TRAVEL CENTER
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
447100
|
Sponsor’s telephone number |
9543571480
|
Plan sponsor’s
address |
2705 BURRIS RD, DAVIE, FL, 33314
|
Plan administrator’s name and address
Administrator’s EIN |
273142947 |
Plan administrator’s name |
FLORIDA 595 TRAVEL CENTER |
Plan administrator’s
address |
2705 BURRIS RD, DAVIE, FL, 33314 |
Administrator’s telephone number |
9543571480 |
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
NORKA RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA 595 TRAVEL CENTER 401(K) P/S PLAN
|
2020
|
273142947
|
2021-03-30
|
FLORIDA 595 TRAVEL CENTER
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
447100
|
Sponsor’s telephone number |
9543571480
|
Plan sponsor’s
address |
2705 BURRIS RD, DAVIE, FL, 33314
|
Plan administrator’s name and address
Administrator’s EIN |
273142947 |
Plan administrator’s name |
FLORIDA 595 TRAVEL CENTER |
Plan administrator’s
address |
2705 BURRIS RD, DAVIE, FL, 33314 |
Administrator’s telephone number |
9543571480 |
Signature of
Role |
Plan administrator |
Date |
2021-03-30 |
Name of individual signing |
NORKA RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA 595 TRAVEL CENTER 401(K) P/S PLAN
|
2019
|
273142947
|
2020-06-12
|
FLORIDA 595 TRAVEL CENTER
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
447100
|
Sponsor’s telephone number |
9543571480
|
Plan sponsor’s
address |
2705 BURRIS RD, DAVIE, FL, 33314
|
Plan administrator’s name and address
Administrator’s EIN |
273142947 |
Plan administrator’s name |
FLORIDA 595 TRAVEL CENTER |
Plan administrator’s
address |
2705 BURRIS RD, DAVIE, FL, 33314 |
Administrator’s telephone number |
9543571480 |
Signature of
Role |
Plan administrator |
Date |
2020-06-12 |
Name of individual signing |
NORKA RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|