NSGENE INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
452455737
|
2019-04-10
|
NSGENE INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
812990
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s
address |
225 CHAPMAN ST STE 201, PROVIDENCE, RI, 02905
|
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NSGENE INC 401K PROFIT SHARING PLAN & TRUST
|
2017
|
452455737
|
2019-04-10
|
NSGENE, INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
812990
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s mailing address |
225 CHAPMAN ST STE 201, PROVIDENCE, RI, 029054533
|
Plan sponsor’s
address |
225 CHAPMAN ST STE 201, PROVIDENCE, RI, 029054533
|
Number of participants as of the end of the plan year
Active participants |
8 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-10 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NSGENE INC 401K PROFIT SHARING PLAN & TRUST
|
2016
|
452455737
|
2017-07-31
|
NSGENE, INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s mailing address |
225 CHAPMAN ST STE 201, PROVIDENCE, RI, 029054533
|
Plan sponsor’s
address |
225 CHAPMAN ST STE 201, PROVIDENCE, RI, 029054533
|
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-31 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NSGENE INC. 401K PLAN
|
2015
|
452455737
|
2016-09-29
|
NSGENE INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
541700
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s
address |
225 CHAPMAN STREET, SUITE 201, PROVIDENCE, RI, 02905
|
|
NSGENE INC. 401K PLAN
|
2014
|
452455737
|
2015-02-25
|
NSGENE INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
541700
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s
address |
225 CHAPMAN STREET, SUITE 201, PROVIDENCE, RI, 02905
|
Signature of
Role |
Plan administrator |
Date |
2015-02-25 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NSGENE INC. 401K PLAN
|
2013
|
452455737
|
2014-10-14
|
NSGENE INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
541700
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s
address |
225 CHAPMAN STREET, SUITE 201, PROVIDENCE, RI, 02905
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NSGENE INC. 401K PLAN
|
2012
|
452455737
|
2013-11-19
|
NSGENE INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s
address |
225 CHAPMAN ST STE 201, PROVIDENCE, RI, 02905
|
Signature of
Role |
Plan administrator |
Date |
2013-11-19 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NSGENE INC. 401K PLAN
|
2012
|
452455737
|
2013-11-22
|
NSGENE INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
541700
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s
address |
225 CHAPMAN ST STE 201, PROVIDENCE, RI, 02905
|
Signature of
Role |
Plan administrator |
Date |
2013-11-22 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NSGENE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
271040111
|
2012-07-31
|
WAHLBERG INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
4014894765
|
Plan
sponsor’s DBA name |
WAHLBERG INC
|
Plan sponsor’s
address |
259 RIVERSIDE DR, TIVERTON, RI, 02878
|
Plan administrator’s name and address
Administrator’s EIN |
271040111 |
Plan administrator’s name |
LARS WAHLBERG |
Plan administrator’s
address |
259 RIVERSIDE DR, TIVERTON, RI, 02878 |
Administrator’s telephone number |
4014894765 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
LARS WAHLBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WAHLBERG INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
271040111
|
2011-07-29
|
WAHLBERG, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
4014894765
|
Plan sponsor’s
address |
259 RIVERSIDE DR., TIVERTON, RI, 02878
|
Plan administrator’s name and address
Administrator’s EIN |
271040111 |
Plan administrator’s name |
WAHLBERG, INC. |
Plan administrator’s
address |
259 RIVERSIDE DR., TIVERTON, RI, 02878 |
Administrator’s telephone number |
4014894765 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
WAHLBERG, INC. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|