L.I.S.A., INC 401(K) PLAN
|
2019
|
060899577
|
2020-11-20
|
LIVING IN SAFE ALTERNATIVES, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
200 EXECUTIVE BLVD, SUITE 4C, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2020-11-20 |
Name of individual signing |
KIMBERLY S. SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-20 |
Name of individual signing |
KIMBERLY S. SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2018
|
060899577
|
2020-04-08
|
LIVING IN SAFE ALTERNATIVES, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
200 EXECUTIVE BLVD, SUITE 4C, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2020-04-08 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-08 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2017
|
060899577
|
2019-01-09
|
LIVING IN SAFE ALTERNATIVES, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
200 EXECUTIVE BLVD, SUITE 4C, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2019-01-09 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-01-09 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2016
|
060899577
|
2018-03-27
|
LIVING IN SAFE ALTERNATIVES, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
200 EXECUTIVE BLVD, SUITE 4C, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2018-03-27 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-27 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2015
|
060899577
|
2016-11-01
|
LIVING IN SAFE ALTERNATIVES, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
200 EXECUTIVE BLVD, SUITE 4C, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2016-11-01 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-11-01 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2014
|
060899577
|
2016-01-19
|
LIVING IN SAFE ALTERNATIVES, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
PO BOX 6232, 1615 WOLCOTT ROAD, WOLCOTT, CT, 067160232
|
Signature of
Role |
Plan administrator |
Date |
2016-01-19 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-19 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2013
|
060899577
|
2016-01-19
|
LIVING IN SAFE ALTERNATIVES, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
PO BOX 6232, 1615 WOLCOTT ROAD, WOLCOTT, CT, 067160232
|
Signature of
Role |
Plan administrator |
Date |
2016-01-19 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-19 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2013
|
060899577
|
2015-04-09
|
LIVING IN SAFE ALTERNATIVES, INC.
|
38
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
PO BOX 6232, 1615 WOLCOTT ROAD, WOLCOTT, CT, 067160232
|
Signature of
Role |
Plan administrator |
Date |
2015-04-09 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-09 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2012
|
060899577
|
2014-04-09
|
LIVING IN SAFE ALTERNATIVES, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
PO BOX 6232, 1615 WOLCOTT ROAD, WOLCOTT, CT, 067160232
|
Signature of
Role |
Plan administrator |
Date |
2014-04-09 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-09 |
Name of individual signing |
KIMBERLY SELVAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.I.S.A., INC 401(K) PLAN
|
2011
|
060899577
|
2013-01-24
|
LIVING IN SAFE ALTERNATIVES, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
624200
|
Sponsor’s telephone number |
2038799233
|
Plan sponsor’s
address |
PO BOX 6232, 1615 WOLCOTT ROAD, WOLCOTT, CT, 067160232
|
Plan administrator’s name and address
Administrator’s EIN |
060899577 |
Plan administrator’s name |
LIVING IN SAFE ALTERNATIVES, INC. |
Plan administrator’s
address |
PO BOX 6232, 1615 WOLCOTT ROAD, WOLCOTT, CT, 067160232 |
Administrator’s telephone number |
2038799233 |
Signature of
Role |
Plan administrator |
Date |
2013-01-24 |
Name of individual signing |
KATHY WOODS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-24 |
Name of individual signing |
KATHY WOODS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|