ARNOTT INC. GROUP LIFE, AD&D, AND LONG TERM DISABILITY INSURANCE PLAN
|
2016
|
593491791
|
2017-07-12
|
ARNOTT INC.
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Plan sponsor’s
address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Number of participants as of the end of the plan year
Active participants |
190 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC EMPLOYEE GROUP DENTAL INSURANCE PLAN
|
2016
|
593491791
|
2017-07-12
|
ARNOTT INC
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Plan sponsor’s
address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Number of participants as of the end of the plan year
Active participants |
190 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC EMPLOYEE GROUP MEDICAL PLAN
|
2016
|
593491791
|
2017-07-12
|
ARNOTT INC
|
192
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Plan sponsor’s
address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Number of participants as of the end of the plan year
Active participants |
191 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC. EMPLOYEE GROUP MEDICAL PLAN
|
2015
|
593491791
|
2016-06-21
|
ARNOTT INC
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Plan sponsor’s
address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Number of participants as of the end of the plan year
Active participants |
181 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-06-21 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-21 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC. EMPLOYEE GROUP DENTAL INSURANCE PLAN
|
2015
|
593491791
|
2016-06-24
|
ARNOTT INC
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Plan sponsor’s
address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Number of participants as of the end of the plan year
Active participants |
191 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-24 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC. GROUP LIFE, AD&D AND LONG TERM DISABILITY INSURANCE PLAN
|
2015
|
593491791
|
2016-06-24
|
ARNOTT INC
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Plan sponsor’s
address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Number of participants as of the end of the plan year
Active participants |
191 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-24 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC. EMPLOYEE GROUP DENTAL INSURANCE PLAN
|
2015
|
593491791
|
2016-06-24
|
ARNOTT INC
|
156
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Plan sponsor’s
address |
100 SEA RAY DR, MERRITT ISLAND, FL, 329534104
|
Number of participants as of the end of the plan year
Active participants |
191 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-24 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC EMPLOYEE GROUP MEDICAL PLAN
|
2014
|
593491791
|
2015-05-11
|
ARNOTT INC
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DRIVE, MERRITT ISLAND, FL, 32953
|
Plan sponsor’s
address |
100 SEA RAY DRIVE, MERRITT ISLAND, FL, 32953
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-05-11 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC. EMPLOYEE GROUP DENTAL INSURANCE PLAN
|
2014
|
593491791
|
2015-05-11
|
ARNOTT INC
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DRIVE, MERRITT ISLAND, FL, 32953
|
Plan sponsor’s
address |
100 SEA RAY DRIVE, MERRITT ISLAND, FL, 32953
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-05-04 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARNOTT INC. GROUP LIFE, AD&D, AND LONG TERM DISABILITY
|
2014
|
593491791
|
2015-05-04
|
ARNOTT INC
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
336300
|
Sponsor’s telephone number |
3218683016
|
Plan sponsor’s mailing address |
100 SEA RAY DRIVE, MERRITT ISLAND, FL, 32953
|
Plan sponsor’s
address |
100 SEA RAY DRIVE, MERRITT ISLAND, FL, 32953
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-05-04 |
Name of individual signing |
JEANNIE COX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|