|
INTELLEGO HEALTH 401(K) PLAN
|
2023
|
822301609
|
2024-05-13
|
INTELLEGO HEALTH LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
3862813210
|
| Plan sponsor’s
address |
110 ORANGE AVE., DAYTONA BEACH, FL, 32114
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-13 |
| Name of individual signing |
QIAN LIU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTELLEGO HEALTH 401(K) PLAN
|
2022
|
822301609
|
2023-08-11
|
INTELLEGO HEALTH LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
3862813210
|
| Plan sponsor’s
address |
110 ORANGE AVE., DAYTONA BEACH, FL, 32114
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-11 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTELLEGO HEALTH 401(K) PLAN
|
2021
|
822301609
|
2022-09-30
|
INTELLEGO HEALTH LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
3862813210
|
| Plan sponsor’s
address |
110 ORANGE AVE., DAYTONA BEACH, FL, 32114
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2022-09-29 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTELLEGO HEALTH 401(K) PLAN
|
2020
|
822301609
|
2021-08-24
|
INTELLEGO HEALTH LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
3862813210
|
| Plan sponsor’s
address |
110 ORANGE AVE., DAYTONA BEACH, FL, 32114
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2021-08-24 |
| Name of individual signing |
CAROL HO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTELLEGO HEALTH, LLC 401(K) P/S PLAN
|
2019
|
822301609
|
2020-07-17
|
INTELLEGO HEALTH, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
8633972491
|
| Plan sponsor’s
address |
110 ORANGE AVE, DAYTONA BEACH, FL, 32114
|
Plan administrator’s name and address
| Administrator’s EIN |
822301609 |
| Plan administrator’s name |
INTELLEGO HEALTH, LLC |
| Plan administrator’s
address |
110 ORANGE AVE, DAYTONA BEACH, FL, 32114 |
| Administrator’s telephone number |
8633972491 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-17 |
| Name of individual signing |
ALEXANDER KAJAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTELLEGO HEALTH, LLC 401(K) P/S PLAN
|
2018
|
822301609
|
2020-03-09
|
INTELLEGO HEALTH, LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
8633972491
|
| Plan sponsor’s
address |
110 ORANGE AVE, DAYTONA BEACH, FL, 32114
|
Plan administrator’s name and address
| Administrator’s EIN |
822301609 |
| Plan administrator’s name |
INTELLEGO HEALTH, LLC |
| Plan administrator’s
address |
110 ORANGE AVE, DAYTONA BEACH, FL, 32114 |
| Administrator’s telephone number |
8633972491 |
Signature of
| Role |
Plan administrator |
| Date |
2020-03-09 |
| Name of individual signing |
ALEXANDER KAJAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
