BENEFITS BROKER, INC. 401(K) PLAN
|
2023
|
202170589
|
2024-04-22
|
BENEFITS BROKER, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2024-04-22 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2022
|
202170589
|
2023-02-06
|
BENEFITS BROKER, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2023-02-06 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2021
|
202170589
|
2022-03-17
|
BENEFITS BROKER, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2022-03-17 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2020
|
202170589
|
2021-02-22
|
BENEFITS BROKER, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2021-02-22 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2019
|
202170589
|
2020-06-03
|
BENEFITS BROKER, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2020-06-03 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2018
|
202170589
|
2019-04-24
|
BENEFITS BROKER, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2019-04-24 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2017
|
202170589
|
2018-03-16
|
BENEFITS BROKER, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2018-03-16 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2016
|
202170589
|
2017-06-14
|
BENEFITS BROKER, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2017-06-14 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFITS BROKER, INC. 401(K) PLAN
|
2015
|
202170589
|
2016-06-06
|
BENEFITS BROKER, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7195454840
|
Plan sponsor’s
address |
20 CLUB MANOR DRIVE, UNIT A, PUEBLO, CO, 81008
|
Signature of
Role |
Plan administrator |
Date |
2016-06-06 |
Name of individual signing |
STEVE SHIRLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|