SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
593057904
|
2018-09-12
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
Signature of
Role |
Plan administrator |
Date |
2018-09-12 |
Name of individual signing |
GREGORY A. MASTERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
593057904
|
2018-01-24
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
|
SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
593057904
|
2016-07-15
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
|
SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
593057904
|
2015-10-09
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
|
SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
593057904
|
2014-06-25
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
Signature of
Role |
Plan administrator |
Date |
2014-06-25 |
Name of individual signing |
GREG A. MASTERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
593057904
|
2013-07-08
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
GREG A. MASTERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
593057904
|
2012-10-12
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
Plan administrator’s name and address
Administrator’s EIN |
593057904 |
Plan administrator’s name |
SOUTHERN HOMES OF POLK COUNTY, INC. |
Plan administrator’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803 |
Administrator’s telephone number |
8636872700 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
GREGORY MASTERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HOMES OF POLK COUNTY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
593057904
|
2011-10-14
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803
|
Plan administrator’s name and address
Administrator’s EIN |
593057904 |
Plan administrator’s name |
SOUTHERN HOMES OF POLK COUNTY, INC. |
Plan administrator’s
address |
1925 EAST EDGEWOOD DRIVE, SUITE 100, LAKELAND, FL, 33803 |
Administrator’s telephone number |
8636872700 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
GREGORY MASTERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HOMES OF POLK COUNTY, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
593057904
|
2010-10-11
|
SOUTHERN HOMES OF POLK COUNTY, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8636872700
|
Plan sponsor’s mailing address |
1925 EAST EDGEWOOD DRIVE, LAKELAND, FL, 33803
|
Plan sponsor’s
address |
SUITE 100, LAKELAND, FL, 33803
|
Plan administrator’s name and address
Administrator’s EIN |
593057904 |
Plan administrator’s name |
SOUTHERN HOMES OF POLK COUNTY, INC. |
Plan administrator’s
address |
1925 EAST EDGEWOOD DRIVE, LAKELAND, FL, 33803 |
Administrator’s telephone number |
8636872700 |
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
13 |
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 |
33 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|