|
EAT THE FROG AMELIA 401(K) PLAN
|
2023
|
850711336
|
2024-06-13
|
TRANSFORMATION WORKS, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-08-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
7705594935
|
| Plan sponsor’s
address |
1531 SADLER RD., FERNANDINA BEACH, FL, 32034
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2024-06-13 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAT THE FROG AMELIA 401(K) PLAN
|
2022
|
850711336
|
2023-07-20
|
TRANSFORMATION WORKS, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-08-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
7705594935
|
| Plan sponsor’s
address |
1531 SADLER RD., FERNANDINA BEACH, FL, 32034
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GRUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-20 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAT THE FROG AMELIA 401(K) PLAN
|
2021
|
850711336
|
2022-07-13
|
TRANSFORMATION WORKS, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-08-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
7705594935
|
| Plan sponsor’s
address |
1531 SADLER RD., FERNANDINA BEACH, FL, 32034
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-13 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAT THE FROG AMELIA 401(K) PLAN
|
2020
|
850711336
|
2021-07-14
|
TRANSFORMATION WORKS, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-08-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
9045753311
|
| Plan sponsor’s
address |
1531 SADLER RD., FERNANDINA BEACH, FL, 32034
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-14 |
| Name of individual signing |
CAMILA VALENZUELA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
