|
JEREMY S CLARK LLC 401(K) PLAN
|
2023
|
811532010
|
2024-09-13
|
JEREMY S CLARK, LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
7272026917
|
| Plan sponsor’s
address |
10812 GANDY BLVD N, SAINT PETERSBURG, FL, 33702
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-13 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEREMY S CLARK LLC 401(K) PLAN
|
2022
|
811532010
|
2023-06-21
|
JEREMY S CLARK, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
7272026917
|
| Plan sponsor’s
address |
10812 GANDY BLVD N, SAINT PETERSBURG, FL, 33702
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-21 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEREMY S CLARK LLC 401(K) PLAN
|
2021
|
811532010
|
2022-07-04
|
JEREMY S CLARK, LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
7272026917
|
| Plan sponsor’s
address |
10812 GANDY BLVD N, SAINT PETERSBURG, FL, 33702
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-04 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEREMY S CLARK LLC 401(K) PLAN
|
2020
|
811532010
|
2021-07-28
|
JEREMY S CLARK, LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
7272026917
|
| Plan sponsor’s
address |
10812 GANDY BLVD N, SAINT PETERSBURG, FL, 33702
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-28 |
| Name of individual signing |
CARI CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEREMY S CLARK LLC 401(K) PLAN
|
2019
|
811532010
|
2020-09-21
|
JEREMY S CLARK, LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
7272026917
|
| Plan sponsor’s
address |
10812 GANDY BLVD N, SAINT PETERSBURG, FL, 33702
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-21 |
| Name of individual signing |
CARI CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEREMY S CLARK LLC 401(K) PLAN
|
2018
|
811532010
|
2019-10-04
|
JEREMY S CLARK, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
7272026917
|
| Plan sponsor’s
address |
10812 GANDY BLVD N, SAINT PETERSBURG, FL, 33702
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-04 |
| Name of individual signing |
CARI CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JEREMY S CLARK LLC 401(K) PLAN
|
2017
|
811532010
|
2018-07-31
|
JEREMY S CLARK, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
7272026917
|
| Plan sponsor’s
address |
10812 GANDY BLVD N, SAINT PETERSBURG, FL, 33702
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-31 |
| Name of individual signing |
CARI CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
