AVALON HR
|
2020
|
201360631
|
2022-08-10
|
AVALON HR LLC
|
1634
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2020-04-01
|
Business code |
561300
|
Sponsor’s telephone number |
8504751555
|
Plan sponsor’s mailing address |
100 S PACE BLVD, PENSACOLA, FL, 325025004
|
Plan sponsor’s
address |
9685 SOLIDER CREEK RD, LILLIAN, AL, 36549
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
DANA JACOBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVALON HR LLC WELFARE PLAN
|
2018
|
201360631
|
2020-01-07
|
AVALON HR LLC
|
1229
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-04-01
|
Business code |
561300
|
Sponsor’s telephone number |
2512703019
|
Plan sponsor’s mailing address |
100 S PACE BLVD, PENSACOLA, FL, 325025004
|
Plan sponsor’s
address |
9685 SOLDIER CREEK RD, LILLIAN, AL, 36549
|
Number of participants as of the end of the plan year
Active participants |
1634 |
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 |
2020-01-07 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-07 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVALON HR LLC WELFARE PLAN
|
2018
|
201360631
|
2020-01-07
|
AVALON HR LLC
|
1229
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-04-01
|
Business code |
561300
|
Sponsor’s telephone number |
2512703019
|
Plan sponsor’s mailing address |
100 S PACE BLVD, PENSACOLA, FL, 325025004
|
Plan sponsor’s
address |
9685 SOLDIER CREEK RD, LILLIAN, AL, 36549
|
Number of participants as of the end of the plan year
Active participants |
1634 |
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 |
Employer/plan sponsor |
Date |
2020-01-07 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVALON HR LLC WELFARE PLAN
|
2017
|
201360631
|
2018-12-14
|
AVALON HR LLC
|
778
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-04-01
|
Business code |
561300
|
Sponsor’s telephone number |
2512703019
|
Plan sponsor’s mailing address |
100 S PACE BLVD, PENSACOLA, FL, 325025004
|
Plan sponsor’s
address |
9685 SOLDIER CREEK RD, LILLIAN, AL, 36549
|
Number of participants as of the end of the plan year
Active participants |
1229 |
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 |
2018-12-14 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-12-14 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVALON LIFE INSURANCE
|
2017
|
201360631
|
2018-07-26
|
AVALON HR LLC
|
1390
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
8504751555
|
Plan
sponsor’s DBA name |
AVALON HR
|
Plan sponsor’s mailing address |
100 S PACE BLVD, PENSACOLA, FL, 325025004
|
Plan sponsor’s
address |
9685 SOLDIER CREEK RD, LILLIAN, AL, 36549
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-26 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVALON LIFE INSURANCE
|
2016
|
201360631
|
2017-07-31
|
AVALON HR LLC
|
500
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
8504751555
|
Plan
sponsor’s DBA name |
AVALON HR
|
Plan sponsor’s mailing address |
100 S PACE BLVD, PENSACOLA, FL, 325025004
|
Plan sponsor’s
address |
9685 SOLDIER CREEK RD, LILLIAN, AL, 36549
|
Number of participants as of the end of the plan year
Active participants |
1390 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-31 |
Name of individual signing |
DON RIDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|