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| Plan Name | SOUTHERN DEVELOPMENT & CONSTRUCTION WELFARE BENEFIT PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SOUTHERN DEVELOPMENT & CONSTRUCTION, INC. |
| Employer identification number (EIN): | 593249904 |
| NAIC Classification: | 237310 |
| NAIC Description: | Highway, Street, and Bridge Construction |
Additional information about SOUTHERN DEVELOPMENT & CONSTRUCTION, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1994-06-17 |
| Company Identification Number: | P94000045482 |
| Legal Registered Office Address: |
662 LAKE MILLS RD CHULUOTA 32766 |
More information about SOUTHERN DEVELOPMENT & CONSTRUCTION, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2018-08-01 | JENNIFER MONTGOMERY | 2020-02-14 |
| 2018: SOUTHERN DEVELOPMENT & CONSTRUCTION WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | First time form 5500 has been submitted | Yes |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |
| Policy contract number | D0695 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 552371 |
| Policy instance | 2 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E5100383 |
| Policy instance | 3 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |
| Policy contract number | D0695 |
| Policy instance | 4 |
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