EPIVAX, INC 401 K PROFIT SHARING PLAN AND TRUST
|
2023
|
050499380
|
2024-06-04
|
EPIVAX, INC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
188 VALLEY ST, PROVIDENCE, RI, 02909
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-04 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401 K PROFIT SHARING PLAN AND TRUST
|
2022
|
050499380
|
2023-08-29
|
EPIVAX, INC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
188 VALLEY ST, PROVIDENCE, RI, 02909
|
Signature of
Role |
Plan administrator |
Date |
2023-08-29 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401 (K) PROFIT SHARING PLAN AND TRUST
|
2021
|
050499380
|
2022-05-27
|
EPIVAX, INC
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909
|
Signature of
Role |
Plan administrator |
Date |
2022-05-27 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-27 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
050499380
|
2021-06-07
|
EPIVAX, INC
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909
|
Signature of
Role |
Plan administrator |
Date |
2021-06-07 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
050499380
|
2020-06-19
|
EPIVAX, INC
|
42
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909
|
Signature of
Role |
Plan administrator |
Date |
2020-06-19 |
Name of individual signing |
SBOTELHO9973 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
050499380
|
2020-06-30
|
EPIVAX, INC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
050499380
|
2019-06-04
|
EPIVAX, INC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
188 VALLEY ST, STE 424, PROVIDENCE, RI, 02909
|
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
050499380
|
2018-06-18
|
EPIVAX, INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
146 CLIFFORD ST, PROVIDENCE, RI, 02903
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
050499380
|
2017-05-19
|
EPIVAX, INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
146 CLIFFORD ST, PROVIDENCE, RI, 02903
|
Signature of
Role |
Plan administrator |
Date |
2017-05-19 |
Name of individual signing |
STEPHANIE VECE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
050499380
|
2016-06-03
|
EPIVAX, INC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
4012722123
|
Plan sponsor’s
address |
146 CLIFFORD ST, PROVIDENCE, RI, 02903
|
Signature of
Role |
Plan administrator |
Date |
2016-06-03 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
050499380
|
2015-06-26
|
EPIVAX, INC
|
27
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/26/20150626154419P030077935633001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
541700 |
Sponsor’s telephone number |
4012722123 |
Plan sponsor’s
address |
146 CLIFFORD ST, PROVIDENCE, RI, 02903 |
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
SARAH BOTELHO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
050499380
|
2014-06-26
|
EPIVAX, INC
|
19
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/26/20140626155046P040465508753001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
541700 |
Sponsor’s telephone number |
4012722123 |
Plan sponsor’s
address |
146 CLIFFORD ST, PROVIDENCE, RI, 02903 |
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
CLIFFORD GRIMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
050499380
|
2013-04-25
|
EPIVAX, INC.
|
18
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/25/20130425092116P030243638513001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621510 |
Sponsor’s telephone number |
4012722123 |
Plan sponsor’s
address |
146 CLIFFORD STREET, PROVIDENCE, RI, 02903 |
Signature of
Role |
Plan administrator |
Date |
2013-04-25 |
Name of individual signing |
CLIFF GRIMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-25 |
Name of individual signing |
CLIFF GRIMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
050499380
|
2012-05-15
|
EPIVAX, INC.
|
23
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/15/20120515095158P030000866198001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621510 |
Sponsor’s telephone number |
4012722123 |
Plan sponsor’s
address |
146 CLIFFORD STREET, PROVIDENCE, RI, 02903 |
Plan administrator’s name and address
Administrator’s EIN |
050499380 |
Plan administrator’s name |
EPIVAX, INC. |
Plan administrator’s
address |
146 CLIFFORD STREET, PROVIDENCE, RI, 02903 |
Administrator’s telephone number |
4012722123 |
Signature of
Role |
Plan administrator |
Date |
2012-05-15 |
Name of individual signing |
CLIFF GRIMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-15 |
Name of individual signing |
CLIFF GRIMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
050499380
|
2011-05-04
|
EPIVAX, INC.
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/04/20110504160429P040017161239001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621510 |
Sponsor’s telephone number |
4012722123 |
Plan sponsor’s
address |
146 CLIFFORD STREET, PROVIDENCE, RI, 02903 |
Plan administrator’s name and address
Administrator’s EIN |
050499380 |
Plan administrator’s name |
EPIVAX, INC. |
Plan administrator’s
address |
146 CLIFFORD STREET, PROVIDENCE, RI, 02903 |
Administrator’s telephone number |
4012722123 |
Signature of
Role |
Plan administrator |
Date |
2011-05-04 |
Name of individual signing |
CLIFF GRIMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-04 |
Name of individual signing |
CLIFF GRIMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EPIVAX, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
050499380
|
2010-08-19
|
EPIVAX, INC.
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/19/20100819142059P030150932434001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621510 |
Sponsor’s telephone number |
4012722123 |
Plan sponsor’s
address |
146 CLIFFORD STREET, PROVIDENCE, RI, 02903 |
Plan administrator’s name and address
Administrator’s EIN |
050499380 |
Plan administrator’s name |
EPIVAX, INC. |
Plan administrator’s
address |
146 CLIFFORD STREET, PROVIDENCE, RI, 02903 |
Administrator’s telephone number |
4012722123 |
Signature of
Role |
Plan administrator |
Date |
2010-08-19 |
Name of individual signing |
FRANK HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|