|
PROVATEK LLC 401(K) PLAN
|
2021
|
475395554
|
2022-05-23
|
PROVATEK LLC
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-10-01
|
| Business code |
541700
|
| Sponsor’s telephone number |
8133344186
|
| Plan sponsor’s
address |
15310 AMBERLY DRIVE, SUITE 175, TAMPA, FL, 33647
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-23 |
| Name of individual signing |
MATT KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVATEK LLC 401(K) PLAN
|
2020
|
475395554
|
2021-06-11
|
PROVATEK LLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-10-01
|
| Business code |
541700
|
| Sponsor’s telephone number |
8133344186
|
| Plan sponsor’s
address |
15310 AMBERLY DRIVE, SUITE 175, TAMPA, FL, 33647
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-11 |
| Name of individual signing |
MATT KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVATEK LLC 401(K) PLAN
|
2019
|
475395554
|
2020-06-30
|
PROVATEK LLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-10-01
|
| Business code |
541700
|
| Sponsor’s telephone number |
8133344186
|
| Plan sponsor’s
address |
15310 AMBERLY DRIVE, SUITE 250, TAMPA, FL, 33647
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-30 |
| Name of individual signing |
MATT KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVATEK LLC 401(K) PLAN
|
2019
|
475395554
|
2020-06-23
|
PROVATEK LLC
|
16
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-10-01
|
| Business code |
541700
|
| Sponsor’s telephone number |
8133344186
|
| Plan sponsor’s
address |
15310 AMBERLY DRIVE, SUITE 250, TAMPA, FL, 33647
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-23 |
| Name of individual signing |
MKELLY3557 |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVATEK LLC 401(K) PLAN
|
2018
|
475395554
|
2019-06-04
|
PROVATEK LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-10-01
|
| Business code |
541700
|
| Sponsor’s telephone number |
8133344186
|
| Plan sponsor’s
address |
15310 AMBERLY DRIVE, SUITE 250, TAMPA, FL, 33647
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-04 |
| Name of individual signing |
MATT KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVATEK LLC 401(K) PLAN
|
2017
|
475395554
|
2018-06-07
|
PROVATEK LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-10-01
|
| Business code |
541700
|
| Sponsor’s telephone number |
8133344186
|
| Plan sponsor’s
address |
15310 AMBERLY DRIVE, SUITE 250, TAMPA, FL, 33647
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-07 |
| Name of individual signing |
MATT KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
