VOLUNTARY LIFE INSURANCE
|
2022
|
630517713
|
2023-11-06
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
517
|
Effective date of plan |
2018-10-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA RD, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA RD, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHORT TERM DISABILITY
|
2022
|
630517713
|
2023-11-06
|
NORTH ALABAMA FABRICATING COMPANY, INC
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
513
|
Effective date of plan |
2017-03-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE AND AD&D
|
2022
|
630517713
|
2023-11-06
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
2017-03-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA RD, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA RD, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHORT TERM DISABILITY
|
2022
|
630517713
|
2023-11-06
|
NORTH ALABAMA FABRICATING COMPANY, INC
|
172
|
|
Three-digit plan number (PN) |
513
|
Effective date of plan |
2017-03-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOLUNTARY LIFE INSURANCE
|
2022
|
630517713
|
2023-11-06
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
93
|
|
Three-digit plan number (PN) |
517
|
Effective date of plan |
2018-10-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA RD, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA RD, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY
|
2022
|
630517713
|
2023-11-06
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-03-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-09-22 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-22 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
2022
|
630517713
|
2023-11-06
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-03-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-06 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL CANCER
|
2022
|
630517713
|
2023-11-09
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2022-03-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan
sponsor’s DBA name |
NORTH ALABAMA FABRICATING COMPANY
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA ROAD SUITE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA ROAD SUITE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-09 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-09 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL ACCIDENT
|
2022
|
630517713
|
2023-11-09
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2022-03-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan
sponsor’s DBA name |
NORTH ALABAMA FABRICATING COMPANY
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA RD STE 400, BIRMINGHAM, AL, 352162513
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA RD STE 400, BIRMINGHAM, AL, 352162513
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-09 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-09 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUPERIOR VISION PLAN
|
2022
|
630517713
|
2023-11-09
|
NORTH ALABAMA FABRICATING COMPANY, INC.
|
139
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2018-01-01
|
Business code |
332300
|
Sponsor’s telephone number |
2055915554
|
Plan sponsor’s mailing address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
2101 OLD COLUMBIANA HWY, STE 400, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-09 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-09 |
Name of individual signing |
RYAN MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|