Becky Allen signed JAX Inc.'s 2023 Form 5500 as plan administrator.
Signer names are public record from the Form 5500 e-signature.
JAX Inc.'s EIN is 84-1087636.
Download the official 2023 Form 5500 (PDF) for JAX Inc. from the U.S. Department of Labor's EFAST2 system.
Download the official 2023 Form 5500 (PDF)JAX Inc.'s plan includes health coverage, life insurance, dental coverage, vision coverage.
| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| FLOOD & PETERSON | 84-0475762 | — | INSURANCE AGENT | $31K | — |
| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| LUCENT HEALTH SOLUTIONS LLC | 39-1997579 | — | CONTRACT ADMIN | $39K | — |
The Schedule of Assets is filed as a free-form PDF attachment on EFAST2; we parse these offline and coverage is partial (priority is the largest plans by EOY assets). This plan also reports no pooled (Schedule D) interests, so its holdings aren’t hidden on a master-trust filing. The line-item data lives on DOL EFAST2 under the same ACK_ID.
See Methodology > Data linkages for how Form 5500 / Schedule H / Schedule D / Schedule of Assets fit together.
| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| CONNECTICUT GENERAL LIFE INSURANCE | 60-0303370 | — | PPO CHARGE | $20K | — |
| TELADOC INC. | 04-3705970 | — | OTHER | $2K | — |
