VOIDFORM PRODUCTS, LLC MEDICAL PLAN
|
2023
|
840832502
|
2024-11-14
|
VOIDFORM PRODUCTS, LLC
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2023-07-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s mailing address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Plan sponsor’s
address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-11-14 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS, LLC LIFE/LTD PLAN
|
2023
|
840832502
|
2024-11-14
|
VOIDFORM PRODUCTS, LLC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2023-07-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s mailing address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Plan sponsor’s
address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-11-14 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS LLC 401K PLAN
|
2023
|
840832502
|
2024-06-18
|
VOIDFORM PRODUCTS LLC
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
322200
|
Sponsor’s telephone number |
8174290888
|
Plan sponsor’s
address |
750 W HAMPDEN AVE #510, ENGLEWOOD, CO, 80110
|
Signature of
Role |
Plan administrator |
Date |
2024-06-18 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS, LLC LIFE INSURANCE PLAN
|
2022
|
840832502
|
2023-11-03
|
VOIDFORM PRODUCTS, LLC
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-07-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s mailing address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Plan sponsor’s
address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-03 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS, LLC MEDICAL PLAN
|
2022
|
840832502
|
2023-11-03
|
VOIDFORM PRODUCTS, LLC
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2022-07-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s mailing address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Plan sponsor’s
address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-03 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS LLC 401K PLAN
|
2022
|
840832502
|
2023-05-24
|
VOIDFORM PRODUCTS LLC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s
address |
750 W. HAMPDEN AVE #510, ENGLEWOOD, CO, 80110
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS LLC 401K PLAN
|
2022
|
840832502
|
2023-05-24
|
VOIDFORM PRODUCTS LLC
|
104
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s
address |
750 W. HAMPDEN AVE #510, ENGLEWOOD, CO, 80110
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS, LLC MEDICAL PLAN
|
2021
|
840832502
|
2023-02-09
|
VOIDFORM PRODUCTS, LLC
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-07-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s mailing address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Plan sponsor’s
address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-02-09 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS, LLC LIFE INSURANCE PLAN
|
2021
|
840832502
|
2023-02-15
|
VOIDFORM PRODUCTS, LLC
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-07-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s mailing address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Plan sponsor’s
address |
750 W HAMPDEN AVE STE 510, ENGLEWOOD, CO, 801102198
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-02-15 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOIDFORM PRODUCTS LLC 401K PLAN
|
2021
|
840832502
|
2022-03-18
|
VOIDFORM PRODUCTS LLC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
322200
|
Sponsor’s telephone number |
3037620324
|
Plan sponsor’s
address |
750 W. HAMPDEN AVE #510, ENGLEWOOD, CO, 80110
|
Signature of
Role |
Plan administrator |
Date |
2022-03-18 |
Name of individual signing |
STACIE BURNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|