FROM IN FORM LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
364728035
|
2024-05-28
|
FROM IN FORM LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2024-05-28 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
364728035
|
2023-07-03
|
FROM IN FORM LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2023-07-03 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
364728035
|
2022-06-29
|
FROM IN FORM LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2022-06-29 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
364728035
|
2021-08-02
|
FROM IN FORM LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2021-08-02 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
364728035
|
2020-07-27
|
FROM IN FORM LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
364728035
|
2019-06-20
|
FROM IN FORM LLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
364728035
|
2019-06-20
|
FROM IN FORM LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
364728035
|
2018-11-15
|
FROM IN FORM LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2018-11-15 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
364728035
|
2017-06-16
|
FROM IN FORM LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2017-06-16 |
Name of individual signing |
ADRIENNE WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FROM IN FORM LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
364728035
|
2016-06-17
|
FROM IN FORM LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541310
|
Sponsor’s telephone number |
4013384996
|
Plan sponsor’s
address |
9 BURCHARD AVE, LITTLE COMPTON, RI, 02837
|
Signature of
Role |
Plan administrator |
Date |
2016-06-17 |
Name of individual signing |
NAGIBE DESROSIERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|