ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2023
|
593511925
|
2024-10-15
|
ULTRA PURE BOTTLED WATER
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2024-10-15 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2022
|
593511925
|
2023-09-22
|
ULTRA PURE BOTTLED WATER
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2023-09-22 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2021
|
593511925
|
2023-09-22
|
ULTRA PURE BOTTLED WATER
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2023-09-22 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2021
|
593511925
|
2022-10-26
|
ULTRA PURE BOTTLED WATER
|
34
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2022-10-26 |
Name of individual signing |
TARA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2021
|
593511925
|
2022-10-03
|
ULTRA PURE BOTTLED WATER
|
33
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2022-10-03 |
Name of individual signing |
TARA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2020
|
593511925
|
2021-10-05
|
ULTRA PURE BOTTLED WATER
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2021-10-05 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2020
|
593511925
|
2021-10-11
|
ULTRA PURE BOTTLED WATER
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2021-10-11 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2019
|
593511925
|
2020-09-30
|
ULTRA PURE BOTTLED WATER
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
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 |
2020-09-30 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2018
|
593511925
|
2019-10-15
|
ULTRA PURE BOTTLED WATER
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ULTRA PURE BOTTLED WATER 401(K) PLAN
|
2017
|
593511925
|
2018-08-30
|
ULTRA PURE BOTTLED WATER
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-02-26
|
Business code |
312110
|
Sponsor’s telephone number |
8134930488
|
Plan sponsor’s
address |
5202 S. LOIS AVENUE, TAMPA, FL, 33611
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2018-08-30 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|