LIFEBRIDGE INC
|
2023
|
010779708
|
2024-03-22
|
LIFEBRIDGE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
2410 NE 44TH CT, LIGHTHOUSE POINT, FL, 33064
|
Signature of
Role |
Plan administrator |
Date |
2024-03-21 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-03-21 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEBRIDGE INC
|
2022
|
010779708
|
2023-05-24
|
LIFEBRIDGE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
2410 NE 44TH CT, LIGHTHOUSE POINT, FL, 33064
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-24 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEBRIDGE INC
|
2021
|
010779708
|
2022-05-25
|
LIFEBRIDGE INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
1001 YAMATO RD., SUITE 100, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2022-05-25 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-25 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEBRIDGE INC
|
2020
|
010779708
|
2021-05-25
|
LIFEBRIDGE INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
1001 YAMATO RD., SUITE 100, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2021-05-25 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-25 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEBRIDGE INC
|
2019
|
010779708
|
2020-05-27
|
LIFEBRIDGE INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
1001 YAMATO RD., SUITE 100, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2020-05-27 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-27 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEBRIDGE INC
|
2018
|
010779708
|
2019-06-19
|
LIFEBRIDGE INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
1001 YAMATO RD., SUITE 100, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2019-06-19 |
Name of individual signing |
PAUL CAPUZZIELO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-19 |
Name of individual signing |
PAUL CAPUZZIELO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEBRIDGE INC
|
2017
|
010779708
|
2018-07-16
|
LIFEBRIDGE INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
1001 YAMATO RD., SUITE 100, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-16 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFEBRIDGE INC
|
2016
|
010779708
|
2017-10-12
|
LIFEBRIDGE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
523900
|
Sponsor’s telephone number |
4013340570
|
Plan sponsor’s
address |
1001 YAMATO RD., SUITE 100, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-12 |
Name of individual signing |
PAUL CAPUZZIELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|