SAAD HEALTHCARE INSURANCE BENEFITS PLAN TRUST
|
2023
|
630904463
|
2024-10-14
|
SAAD ENTERPRISES, INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-14 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD HEALTHCARE INSURANCE BENEFITS PLAN TRUST
|
2022
|
630904463
|
2023-10-12
|
SAAD ENTERPRISES, INC.
|
190
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-11 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-11 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD HEALTHCARE INSURANCE BENEFITS PLAN TRUST
|
2021
|
630904463
|
2022-10-10
|
SAAD ENTERPRISES, INC.
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
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 |
2022-10-10 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-10 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD HEALTHCARE INSURANCE BENEFITS PLAN TRUST
|
2020
|
630904463
|
2021-09-28
|
SAAD ENTERPRISES, INC.
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
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 |
2021-09-28 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD HEALTHCARE INSURANCE BENEFITS PLAN TRUST
|
2019
|
630904463
|
2021-01-12
|
SAAD ENTERPRISES, INC.
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Signature of
Role |
Plan administrator |
Date |
2021-01-12 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-12 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD HEALTHCARE INSURANCE BENEFITS PLAN TRUST
|
2018
|
630904463
|
2019-10-14
|
SAAD ENTERPRISES, INC.
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD ENTERPRISES, INC. GROUP HEALTH INSURANCE PLAN
|
2017
|
630904463
|
2018-09-20
|
SAAD ENTERPRISES, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-20 |
Name of individual signing |
ERIC HAYNES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD ENTERPRISES, INC. GROUP HEALTH INSURANCE PLAN
|
2016
|
630904463
|
2017-10-20
|
SAAD ENTERPRISES, INC.
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-20 |
Name of individual signing |
HENRY FULGHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD ENTERPRISES, INC. GROUP HEALTH INSURANCE PLAN
|
2015
|
630904463
|
2016-10-06
|
SAAD ENTERPRISES, INC.
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Plan sponsor’s
address |
1515 S UNIVERSITY BLVD, MOBILE, AL, 366092958
|
Number of participants as of the end of the plan year
Active participants |
172 |
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 |
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
HENRY FULGHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAAD ENTERPRISES, INC. GROUP HEALTH INSURANCE PLAN
|
2014
|
630904463
|
2015-09-14
|
SAAD ENTERPRISES, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
2513439600
|
Plan sponsor’s mailing address |
1515 UNIVERSITY BLVD S, MOBILE, AL, 36609
|
Plan sponsor’s
address |
1515 UNIVERSITY BLVD S, MOBILE, AL, 36609
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-14 |
Name of individual signing |
SCOTT BLACKBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|