BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2023
|
454892223
|
2024-09-19
|
BLOOM LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2024-09-19 |
Name of individual signing |
BETHANY HARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2022
|
454892223
|
2023-10-12
|
BLOOM LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
624410
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
BETHANY HARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2021
|
454892223
|
2022-06-14
|
BLOOM LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2022-06-14 |
Name of individual signing |
BETHANY HARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2020
|
454892223
|
2021-10-05
|
BLOOM LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2021-10-05 |
Name of individual signing |
BETHANY HARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2019
|
454892223
|
2020-10-08
|
BLOOM LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
BETHANY STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2018
|
454892223
|
2019-10-08
|
BLOOM LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2019-10-08 |
Name of individual signing |
BETHANY STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2017
|
454892223
|
2018-06-04
|
BLOOM LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2018-06-04 |
Name of individual signing |
BETHANY STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2016
|
454892223
|
2017-07-12
|
BLOOM LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
BETHANY STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2015
|
454892223
|
2016-10-06
|
BLOOM LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
BETHANY STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401K PROFIT SHARING PLAN AND TRUST
|
2014
|
454892223
|
2015-09-02
|
BLOOM LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
4018420003
|
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842
|
Signature of
Role |
Plan administrator |
Date |
2015-09-02 |
Name of individual signing |
BETHANY STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOOM LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
454892223
|
2014-05-30
|
BLOOM LLC
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/30/20140530104234P030123163701001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
624410 |
Sponsor’s telephone number |
4018420003 |
Plan sponsor’s
address |
33 MITCHELLS LANE, MIDDLETOWN, RI, 02842 |
Signature of
Role |
Plan administrator |
Date |
2014-05-30 |
Name of individual signing |
BETHANY STEWART |
Valid signature |
Filed with authorized/valid electronic signature |
|
|