401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF ADPEN LABORATORIES, INC.
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2023
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592961743
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2024-07-09
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ADPEN LABORATORIES, INC.
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33
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|
File |
View Page
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Three-digit plan number (PN) |
001
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Effective date of plan |
1995-01-01
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Business code |
541380
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Sponsor’s telephone number |
9046459169
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Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
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Signature of
Role |
Plan administrator |
Date |
2024-07-09 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
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EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
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2022
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592961743
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2023-09-21
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ADPEN LABORATORIES, INC.
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35
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
|
Signature of
Role |
Plan administrator |
Date |
2023-09-21 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
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EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
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2021
|
592961743
|
2022-09-21
|
ADPEN LABORATORIES, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
|
Signature of
Role |
Plan administrator |
Date |
2022-09-21 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
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EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
|
2020
|
592961743
|
2021-07-13
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ADPEN LABORATORIES, INC.
|
36
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
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2020
|
592961743
|
2021-07-27
|
ADPEN LABORATORIES, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
|
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
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EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
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2019
|
592961743
|
2020-07-27
|
ADPEN LABORATORIES, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
|
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
|
2018
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592961743
|
2019-10-07
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ADPEN LABORATORIES, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
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EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES INC
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2017
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592961743
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2018-06-20
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ADPEN LABORATORIES INC
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31
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 322242601
|
Signature of
Role |
Plan administrator |
Date |
2018-06-20 |
Name of individual signing |
DAVID G PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-20 |
Name of individual signing |
DAVID G PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
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EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
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2016
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592961743
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2017-07-07
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ADPEN LABORATORIES, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 32224
|
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-07 |
Name of individual signing |
DAVID PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
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EMPLOYEE BENEFIT PLAN OF ADPEN LABORATORIES, INC.
|
2015
|
592961743
|
2016-09-07
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ADPEN LABORATORIES, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
9046459169
|
Plan sponsor’s
address |
11757 CENTRAL PKWY, JACKSONVILLE, FL, 32224
|
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
MARIA JULIA PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-07 |
Name of individual signing |
MARIA JULIA PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
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