CAPTEVRIX 401(K) PLAN
|
2020
|
473248969
|
2021-10-16
|
CAPTEVRIX, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-03
|
Business code |
541800
|
Sponsor’s telephone number |
9044909043
|
Plan sponsor’s
address |
320 HIGH TIDE DRIVE, SUITE 101, SAINT AUGUSTINE, FL, 32080
|
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 |
2021-10-15 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPTEVRIX 401(K) PLAN
|
2020
|
473248969
|
2021-05-04
|
CAPTEVRIX, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-03
|
Business code |
541800
|
Sponsor’s telephone number |
9044909043
|
Plan sponsor’s
address |
320 HIGH TIDE DRIVE, SUITE 101, SAINT AUGUSTINE, FL, 32080
|
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 |
2021-05-04 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPTEVRIX 401(K) PLAN
|
2019
|
473248969
|
2020-07-08
|
CAPTEVRIX, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-03
|
Business code |
541800
|
Sponsor’s telephone number |
9044909043
|
Plan sponsor’s
address |
320 HIGH TIDE DRIVE, SUITE 101, SAINT AUGUSTINE, FL, 32080
|
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 |
2020-07-07 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPTEVRIX 401(K) PLAN
|
2018
|
473248969
|
2020-12-03
|
CAPTEVRIX, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-03
|
Business code |
541800
|
Sponsor’s telephone number |
9044297519
|
Plan sponsor’s
address |
2225 A1A SOUTH, SUITE C9, SAINT AUGUSTINE, FL, 32080
|
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 |
2020-12-03 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPTEVRIX 401(K) PLAN
|
2018
|
473248969
|
2019-07-24
|
CAPTEVRIX, LLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-03
|
Business code |
541800
|
Sponsor’s telephone number |
9044297519
|
Plan sponsor’s
address |
2225 A1A SOUTH, SUITE C9, SAINT AUGUSTINE, FL, 32080
|
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 |
2019-07-24 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPTEVRIX 401(K) PLAN
|
2017
|
473248969
|
2018-07-27
|
CAPTEVRIX, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-03
|
Business code |
541800
|
Sponsor’s telephone number |
9044297519
|
Plan sponsor’s
address |
2225 A1A SOUTH, SUITE B7, SAINT AUGUSTINE, FL, 32080
|
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 |
2018-07-27 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPTEVRIX 401(K) PLAN
|
2016
|
473248969
|
2017-07-19
|
CAPTEVRIX, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-03
|
Business code |
541600
|
Sponsor’s telephone number |
9044297519
|
Plan sponsor’s
address |
2225 A1A SOUTH, SUITE C9, SAINT AUGUSTINE, FL, 32080
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE TECHNOLOGIES, INC. |
Plan administrator’s
address |
200 PARK RD, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|