MBA WELFARE BENEFIT PLAN
|
2021
|
650739320
|
2022-03-24
|
MODERN BUSINESS ASSOCIATES
|
3238
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Plan sponsor’s
address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Number of participants as of the end of the plan year
Active participants |
3616 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-03-24 |
Name of individual signing |
JUDITH BELFOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA WELFARE BENEFIT PLAN
|
2020
|
650739320
|
2021-04-01
|
MODERN BUSINESS ASSOCIATES, INC
|
3092
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Plan sponsor’s
address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Number of participants as of the end of the plan year
Active participants |
3238 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-04-01 |
Name of individual signing |
JUDITH BELFOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA WELFARE BENEFIT PLAN
|
2019
|
650739320
|
2020-04-07
|
MODERN BUSINESS ASSOCIATES, INC.
|
3190
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Plan sponsor’s
address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Number of participants as of the end of the plan year
Active participants |
3092 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-04-06 |
Name of individual signing |
JUDITH BELFOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA WELFARE BENEFIT PLAN
|
2018
|
650739320
|
2019-07-18
|
MODERN BUSINESS ASSOCIATES, INC.
|
2875
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Plan sponsor’s
address |
9455 KOGER BLVD N STE 200, ST PETERSBURG, FL, 337022465
|
Number of participants as of the end of the plan year
Active participants |
3190 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
JUDITH BELFOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA WELFARE BENEFIT PLAN
|
2017
|
650739320
|
2018-10-11
|
MODERN BUSINESS ASSOCIATES, INC.
|
2822
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan sponsor’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Number of participants as of the end of the plan year
Active participants |
2875 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
ROBERT SMOLINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
ROBERT SMOLINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA WELFARE BENEFIT PLAN
|
2016
|
650739320
|
2017-07-31
|
MODERN BUSINESS ASSOCIATES, INC.
|
2284
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan sponsor’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Number of participants as of the end of the plan year
Active participants |
2822 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
CHRISTOPHER MCDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
CHRISTOPHER MCDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA WELFARE BENEFIT PLAN
|
2015
|
650739320
|
2016-10-11
|
MODERN BUSINESS ASSOCIATES, INC.
|
1765
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2015-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan sponsor’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Number of participants as of the end of the plan year
Active participants |
2284 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
CHRISTOPHER MCDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
CHRISTOPHER MCDONALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA MEDICAL PLAN
|
2014
|
650739320
|
2015-10-14
|
MODERN BUSINESS ASSOCIATES, INC.
|
1829
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-01-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan sponsor’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan administrator’s name and address
Administrator’s EIN |
650739320 |
Plan administrator’s name |
MODERN BUSINESS ASSOCIATES, INC. |
Plan administrator’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702 |
Administrator’s telephone number |
7275631500 |
Number of participants as of the end of the plan year
Active participants |
1438 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
MARK LETTELLEIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
MARK LETTELLEIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA LIFE INSURANCE PLAN
|
2014
|
650739320
|
2015-10-14
|
MODERN BUSINESS ASSOCIATES, INC.
|
469
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-10-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan sponsor’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan administrator’s name and address
Administrator’s EIN |
650739320 |
Plan administrator’s name |
MODERN BUSINESS ASSOCIATES, INC. |
Plan administrator’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702 |
Administrator’s telephone number |
7275631500 |
Number of participants as of the end of the plan year
Active participants |
327 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
MARK LETTELLEIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
MARK LETTELLEIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBA LIFE INSURANCE PLAN
|
2013
|
650739320
|
2014-10-15
|
MODERN BUSINESS ASSOCIATES, INC.
|
425
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-10-01
|
Business code |
541214
|
Sponsor’s telephone number |
7275631500
|
Plan sponsor’s mailing address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan sponsor’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702
|
Plan administrator’s name and address
Administrator’s EIN |
650739320 |
Plan administrator’s name |
MODERN BUSINESS ASSOCIATES, INC. |
Plan administrator’s
address |
9455 KOGER BLVD., SUITE 200, ST. PETERSBURG, FL, 33702 |
Administrator’s telephone number |
7275631500 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
MARK LETTELLEIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
MARK LETTELLEIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|