PAVEMENT RESTORATION, INC. 401(K) PLAN
|
2023
|
141934204
|
2025-03-04
|
PAVEMENT RESTORATION, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
237310
|
Plan sponsor’s
address |
5423 N 59TH STREET, TAMPA, FL, 33610
|
Signature of
Role |
Plan administrator |
Date |
2025-03-04 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2025-03-04 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVEMENT RESTORATION, INC. 401(K) PLAN
|
2022
|
141934204
|
2023-10-16
|
PAVEMENT RESTORATION, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
237310
|
Sponsor’s telephone number |
8136264287
|
Plan sponsor’s
address |
5423 N 59TH STREET, TAMPA, FL, 33610
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVEMENT RESTORATION, INC. 401(K) PLAN
|
2021
|
141934204
|
2022-10-14
|
PAVEMENT RESTORATION, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
237310
|
Sponsor’s telephone number |
8136264287
|
Plan sponsor’s
address |
5423 N 59TH STREET, TAMPA, FL, 33610
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVEMENT RESTORATION, INC. 401(K) PLAN
|
2020
|
141934204
|
2021-07-29
|
PAVEMENT RESTORATION, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
237310
|
Sponsor’s telephone number |
8136264287
|
Plan sponsor’s
address |
5423 N 59TH STREET, TAMPA, FL, 33610
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVEMENT RESTORATION, INC. 401(K) PLAN
|
2019
|
141934204
|
2020-10-05
|
PAVEMENT RESTORATION, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
237310
|
Sponsor’s telephone number |
8136264287
|
Plan sponsor’s
address |
5423 N 59TH STREET, TAMPA, FL, 33610
|
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVEMENT RESTORATION, INC. 401(K) PLAN
|
2018
|
141934204
|
2019-08-07
|
PAVEMENT RESTORATION, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
237310
|
Sponsor’s telephone number |
8136264287
|
Plan sponsor’s
address |
5423 N 59TH STREET, TAMPA, FL, 33610
|
Signature of
Role |
Plan administrator |
Date |
2019-08-06 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-06 |
Name of individual signing |
KRYSTAL SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|