PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2023
|
205072245
|
2024-07-22
|
PROVENCHER SPORTS, LLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
445110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
KAREN PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-22 |
Name of individual signing |
KAREN PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2022
|
205072245
|
2023-08-24
|
PROVENCHER SPORTS, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND AVE, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2023-08-24 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2021
|
205072245
|
2022-07-14
|
PROVENCHER SPORTS, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND AVE, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2020
|
205072245
|
2021-08-25
|
PROVENCHER SPORTS, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND AVE, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2021-08-25 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2019
|
205072245
|
2020-07-23
|
PROVENCHER SPORTS, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND AVE, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2018
|
205072245
|
2019-07-01
|
PROVENCHER SPORTS, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND AVE, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2019-07-01 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2017
|
205072245
|
2018-07-07
|
PROVENCHER SPORTS, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND AVE, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2018-07-07 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2016
|
205072245
|
2017-08-07
|
PROVENCHER SPORTS, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND AVE, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND AVE, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2017-08-07 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2015
|
205072245
|
2016-09-29
|
PROVENCHER SPORTS, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND ST, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND ST, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2016-09-29 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVENCHER SPORTS, LLC 401(K) P/S PLAN
|
2014
|
205072245
|
2015-10-12
|
PROVENCHER SPORTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
451110
|
Sponsor’s telephone number |
9709030828
|
Plan sponsor’s
address |
640 E 2ND ST, DURANGO, CO, 81301
|
Plan administrator’s name and address
Administrator’s EIN |
205072245 |
Plan administrator’s name |
PROVENCHER SPORTS, LLC |
Plan administrator’s
address |
640 E 2ND ST, DURANGO, CO, 81301 |
Administrator’s telephone number |
9709030828 |
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
GARY PROVENCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|