|
JARED SEYL INSURANCE AGENCY 401(K) PLAN & TRUST
|
2022
|
271912652
|
2023-10-17
|
JARED SEYL INSURANCE AGENCY INC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3036356454
|
| Plan sponsor’s
address |
9250 E COSTILLA AVE SUITE 100, GREENWOOD VILLAGE, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-10-17 |
| Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JARED SEYL INSURANCE AGENCY 401(K) PLAN & TRUST
|
2022
|
271912652
|
2023-08-11
|
JARED SEYL INSURANCE AGENCY INC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3036356454
|
| Plan sponsor’s
address |
9250 E COSTILLA AVE SUITE 100, GREENWOOD VILLAGE, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNONXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-11 |
| Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JARED SEYL INSURANCE AGENCY 401(K) PLAN & TRUST
|
2021
|
271912652
|
2022-09-23
|
JARED SEYL INSURANCE AGENCY INC
|
6
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3036356454
|
| Plan sponsor’s
address |
9250 E COSTILLA AVE SUITE 100, GREENWOOD VILLAGE, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNONXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2022-09-23 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JARED SEYL INSURANCE AGENCY 401(K) PLAN & TRUST
|
2021
|
271912652
|
2023-08-11
|
JARED SEYL INSURANCE AGENCY INC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3036356454
|
| Plan sponsor’s
address |
9250 E COSTILLA AVE SUITE 100, GREENWOOD VILLAGE, CO, 80112
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNONXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-11 |
| Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
