LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFIT PLAN
|
2018
|
630836664
|
2019-07-24
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
537
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
PO BOX 5566, DOTHAN, AL, 363025566
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFIT PLAN
|
2017
|
630836664
|
2018-08-28
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
484
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
PO BOX 5566, DOTHAN, AL, 363025566
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-08-28 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-28 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFIT PLAN
|
2016
|
630836664
|
2017-07-18
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
491
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
PO BOX 5566, DOTHAN, AL, 363025566
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFIT PLAN
|
2015
|
630836664
|
2016-07-26
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
495
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
PO BOX 5566, DOTHAN, AL, 363025566
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFIT PLAN
|
2014
|
630836664
|
2015-07-09
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
466
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
P.O. BOX 5566, DOTHAN, AL, 36302
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-09 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFIT PLAN
|
2013
|
630836664
|
2014-07-28
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
448
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
P.O. BOX 5566, DOTHAN, AL, 36302
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFIT PLAN
|
2012
|
630836664
|
2013-07-29
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
405
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Plan sponsor’s mailing address |
P.O. BOX 5566, DOTHAN, AL, 36302
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
LARRY BLUMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFITS PLAN
|
2010
|
630836664
|
2011-07-28
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
436
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
P.O. BOX 5566, DOTHAN, AL, 36302
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Plan administrator’s name and address
Administrator’s EIN |
630836664 |
Plan administrator’s name |
LARRY BLUMBERG AND ASSOCIATES, INC. |
Plan administrator’s
address |
P.O. BOX 5566, DOTHAN, AL, 36302 |
Administrator’s telephone number |
3347936855 |
Number of participants as of the end of the plan year
Active participants |
408 |
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 |
DFE |
Date |
2011-07-28 |
Name of individual signing |
TERRELL HODNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOCIATES, INC. FLEXIBLE BENEFITS PLAN
|
2010
|
630836664
|
2011-07-28
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
436
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
P.O. BOX 5566, DOTHAN, AL, 36302
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Plan administrator’s name and address
Administrator’s EIN |
630836664 |
Plan administrator’s name |
LARRY BLUMBERG AND ASSOCIATES, INC. |
Plan administrator’s
address |
P.O. BOX 5566, DOTHAN, AL, 36302 |
Administrator’s telephone number |
3347936855 |
Number of participants as of the end of the plan year
Active participants |
408 |
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 |
2011-07-28 |
Name of individual signing |
TERRELL HODNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARRY BLUMBERG AND ASSOC., INC. FLEXIBLE BENEFITS PLAN
|
2009
|
630836664
|
2010-07-21
|
LARRY BLUMBERG AND ASSOCIATES, INC.
|
420
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1998-07-01
|
Business code |
721110
|
Sponsor’s telephone number |
3347936855
|
Plan sponsor’s mailing address |
P.O. BOX 5566, DOTHAN, AL, 36302
|
Plan sponsor’s
address |
2733 ROSS CLARK CIRCLE, DOTHAN, AL, 36301
|
Plan administrator’s name and address
Administrator’s EIN |
630836664 |
Plan administrator’s name |
LARRY BLUMBERG AND ASSOCIATES, INC. |
Plan administrator’s
address |
P.O. BOX 5566, DOTHAN, AL, 36302 |
Administrator’s telephone number |
3347936855 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
TERRELL HODNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|