|
JAGGED PEAK, INC. EMPLOYEE MEDICAL PLAN
|
2017
|
912007478
|
2019-07-31
|
JAGGED PEAK, INC.
|
167
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2013-07-01
|
| Business code |
541512
|
| Sponsor’s telephone number |
8136376900
|
| Plan sponsor’s mailing address |
7650 W COURTNEY CAMPBELL CAUSEWAY, STE 1200, TAMPA, FL, 33607
|
| Plan sponsor’s
address |
7650 W COURTNEY CAMPBELL CAUSEWAY, STE 1200, TAMPA, FL, 33607
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2019-07-31 |
| Name of individual signing |
SANDY WARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAGGED PEAK, INC. EMPLOYEE MEDICAL PLAN
|
2016
|
912007478
|
2017-12-02
|
JAGGED PEAK, INC.
|
199
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2013-07-01
|
| Business code |
541512
|
| Sponsor’s telephone number |
8136376900
|
| Plan sponsor’s mailing address |
7650 W COURTNEY CAMPBELL CAUSEWAY, STE 1200, TAMPA, FL, 33607
|
| Plan sponsor’s
address |
7650 W COURTNEY CAMPBELL CAUSEWAY, STE 1200, TAMPA, FL, 33607
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2017-12-01 |
| Name of individual signing |
ALBERT NARVADES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-12-01 |
| Name of individual signing |
ALBERT NARVADES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAGGED PEAK, INC. EMPLOYEE STOCK OWNERSHIP PLAN
|
2010
|
912007478
|
2011-07-25
|
JAGGED PEAK, INC.
|
78
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
541512
|
| Sponsor’s telephone number |
8136376900
|
| Plan sponsor’s
address |
3000 BAYPORT DR STE 250, TAMPA, FL, 336078413
|
Plan administrator’s name and address
| Administrator’s EIN |
912007478 |
| Plan administrator’s name |
JAGGED PEAK, INC. |
| Plan administrator’s
address |
3000 BAYPORT DR STE 250, TAMPA, FL, 336078413 |
| Administrator’s telephone number |
8136376900 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-25 |
| Name of individual signing |
ANDREW NORSTRUD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
