PRIME SOURCE, INC. - Florida Company Profile

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	541990
Sponsor’s telephone number	9413879788
Plan sponsor’s address	5390 GULF OF MEXICO DR, SUITE 204, LONGBOAT KEY, FL, 34228

Signature of

Role	Plan administrator
Date	2021-05-26
Name of individual signing	EDWARD ROJAS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	541990
Sponsor’s telephone number	9413879788
Plan sponsor’s address	5390 GULF OF MEXICO DR - STE 104, LONGBOAT KEY, FL, 34228

Signature of

Role	Plan administrator
Date	2020-07-22
Name of individual signing	EDWARD ROJAS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	323100
Sponsor’s telephone number	9413879788
Plan sponsor’s address	4134 GULF OF MEXICO DR., #202, LONGBOAT KEY, FL, 34228

Plan administrator’s name and address

Administrator’s EIN	640668025
Plan administrator’s name	PRIME SOURCE, INC.
Plan administrator’s address	4134 GULF OF MEXICO DR., #202, LONGBOAT KEY, FL, 34228
Administrator’s telephone number	9413879788

Signature of

Role	Plan administrator
Date	2010-11-18
Name of individual signing	JOSEPH WHALEN
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2010-11-18
Name of individual signing	JOSEPH WHALEN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	323100
Sponsor’s telephone number	9413879788
Plan sponsor’s mailing address	4134 GULF OF MEXICO DR., #202, LONGBOAT KEY, FL, 34228
Plan sponsor’s address	4134 GULF OF MEXICO DR., #202, LONGBOAT KEY, FL, 34228

Plan administrator’s name and address

Administrator’s EIN	640668025
Plan administrator’s name	PRIME SOURCE, INC.
Plan administrator’s address	4134 GULF OF MEXICO DR., #202, LONGBOAT KEY, FL, 34228
Administrator’s telephone number	9413879788

Number of participants as of the end of the plan year

Active participants	25
Retired or separated participants receiving benefits	2
Other retired or separated participants entitled to future benefits	16
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	43
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	5

Signature of

Role	Plan administrator
Date	2010-07-27
Name of individual signing	JOSEPH WHALEN
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2010-07-27
Name of individual signing	JOSEPH WHALEN
Valid signature	Filed with authorized/valid electronic signature

Loan Status Date	2021-06-15
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	364800
Loan Approval Amount (current)	353500
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	123499
Servicing Lender Name	BayFirst National Bank
Servicing Lender Address	700 Central Avenue, Saint Petersburg, FL, 33701
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	LONGBOAT KEY, MANATEE, FL, 34228-2000
Project Congressional District	FL-16
Number of Employees	36
NAICS code	323113
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	123499
Originating Lender Name	BayFirst National Bank
Originating Lender Address	Saint Petersburg, FL
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	357248.07
Forgiveness Paid Date	2021-05-20