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121 FINANCIAL CREDIT UNION

Company Details

Entity Name: 121 FINANCIAL CREDIT UNION
Jurisdiction: FLORIDA
Filing Type: Designation of Agent
Status: Active
Date Filed: 30 Oct 2017 (7 years ago)
Document Number: Q17000000088
FEI/EIN Number 59-0248325
Address: 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL 32204
Mail Address: 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL 32204
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
121 FINANCIAL CREDIT UNION 401(K) PLAN 2023 590248325 2024-12-13 121 FINANCIAL CREDIT UNION 161
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 522130
Sponsor’s telephone number 9047224460
Plan sponsor’s mailing address P.O. BOX 40769, JACKSONVILLE, FL, 32203
Plan sponsor’s address 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL, 32204

Number of participants as of the end of the plan year

Active participants 0
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

Signature of

Role Plan administrator
Date 2024-12-13
Name of individual signing TRACY MANN
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION 401(K) PLAN 2023 590248325 2024-10-03 121 FINANCIAL CREDIT UNION 161
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 522130
Sponsor’s telephone number 9047224460
Plan sponsor’s mailing address P.O. BOX 40769, JACKSONVILLE, FL, 32203
Plan sponsor’s address 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL, 32204

Number of participants as of the end of the plan year

Active participants 0
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

Signature of

Role Plan administrator
Date 2024-10-03
Name of individual signing TRACY MANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing TRACY MANN
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION 401(K) PLAN 2023 590248325 2024-10-03 121 FINANCIAL CREDIT UNION 160
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 522130
Sponsor’s telephone number 9047224460
Plan sponsor’s mailing address P.O. BOX 40769, JACKSONVILLE, FL, 32203
Plan sponsor’s address 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL, 32204

Number of participants as of the end of the plan year

Active participants 125
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 35
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 159
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 2024-10-03
Name of individual signing TRACY MANN
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION 401(K) PLAN 2022 590248325 2023-08-25 121 FINANCIAL CREDIT UNION 145
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 522130
Sponsor’s telephone number 9047224460
Plan sponsor’s mailing address P.O. BOX 40769, JACKSONVILLE, FL, 32203
Plan sponsor’s address 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL, 32204

Number of participants as of the end of the plan year

Active participants 123
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 36
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 159
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 20

Signature of

Role Plan administrator
Date 2023-08-25
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION 401(K) PLAN 2021 590248325 2022-10-06 121 FINANCIAL CREDIT UNION 156
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 522130
Sponsor’s telephone number 9047224460
Plan sponsor’s mailing address P.O. BOX 40769, JACKSONVILLE, FL, 32203
Plan sponsor’s address 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL, 32204

Number of participants as of the end of the plan year

Active participants 116
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 28
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 144
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 25

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION HEALTH AND WELFARE BENEFITS PLAN 2021 590248325 2022-12-20 121 FINANCIAL CREDIT UNION 128
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-06-01
Business code 522130
Sponsor’s telephone number 9047236300
Plan sponsor’s mailing address 701 RIVERSIDE PARK PL, JACKSONVILLE, FL, 322043358
Plan sponsor’s address 701 RIVERSIDE PARK PL, JACKSONVILLE, FL, 322043358

Number of participants as of the end of the plan year

Active participants 125
Retired or separated participants receiving benefits 2

Signature of

Role Plan administrator
Date 2022-12-19
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-19
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION HEALTH AND WELFARE BENEFITS PLAN 2020 590248325 2021-12-16 121 FINANCIAL CREDIT UNION 127
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-06-01
Business code 522130
Sponsor’s telephone number 9047236300
Plan sponsor’s mailing address 701 RIVERSIDE PARK PL, JACKSONVILLE, FL, 322043358
Plan sponsor’s address 701 RIVERSIDE PARK PL, JACKSONVILLE, FL, 322043358

Number of participants as of the end of the plan year

Active participants 128
Retired or separated participants receiving benefits 19

Signature of

Role Plan administrator
Date 2021-12-16
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION 401(K) PLAN 2020 590248325 2021-10-05 121 FINANCIAL CREDIT UNION 147
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 522130
Sponsor’s telephone number 9047224460
Plan sponsor’s mailing address P.O. BOX 40769, JACKSONVILLE, FL, 32203
Plan sponsor’s address 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL, 32204

Number of participants as of the end of the plan year

Active participants 131
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 24
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 153
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 23

Signature of

Role Plan administrator
Date 2021-10-05
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION 401(K) PLAN 2019 590248325 2020-10-14 121 FINANCIAL CREDIT UNION 147
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 522130
Sponsor’s telephone number 9047224460
Plan sponsor’s mailing address P.O. BOX 40769, JACKSONVILLE, FL, 32203
Plan sponsor’s address 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL, 32204

Number of participants as of the end of the plan year

Active participants 118
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 28
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 146
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 26

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature
121 FINANCIAL CREDIT UNION HEALTH AND WELFARE BENEFITS PLAN 2019 590248325 2021-03-04 121 FINANCIAL CREDIT UNION 118
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-06-01
Business code 522130
Sponsor’s telephone number 9047236300
Plan sponsor’s mailing address 701 RIVERSIDE PARK PL, JACKSONVILLE, FL, 322043358
Plan sponsor’s address 701 RIVERSIDE PARK PL, JACKSONVILLE, FL, 322043358

Number of participants as of the end of the plan year

Active participants 127
Other retired or separated participants entitled to future benefits 8

Signature of

Role Plan administrator
Date 2021-03-04
Name of individual signing CLARA KOVARIK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEBLANC, NICHOLE Agent 701 RIVERSIDE PARK PLACE, JACKSONVILLE, FL 32204

Documents

Name Date
Designation of Agent 2017-10-30

Date of last update: 18 Jan 2025

Sources: Florida Department of State