|
TRI-STATE RESTORE, LLC. 401(K) PLAN
|
2023
|
830639862
|
2024-05-16
|
TRI-STATE RESTORE LLC.
|
18
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
9173715199
|
| Plan sponsor’s
address |
6 COUNTRY ROAD, WESTPORT, CT, 06905
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-16 |
| Name of individual signing |
DWAYNE HAGENOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRI-STATE RESTORE, LLC. 401(K) PLAN
|
2023
|
830639862
|
2024-06-13
|
TRI-STATE RESTORE LLC.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
9173715199
|
| Plan sponsor’s
address |
6 COUNTRY ROAD, WESTPORT, CT, 06905
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-13 |
| Name of individual signing |
DWAYNE HAGENOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRI-STATE RESTORE, LLC. 401(K) PLAN
|
2022
|
830639862
|
2023-05-23
|
TRI-STATE RESTORE LLC
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
9173715199
|
| Plan sponsor’s
address |
6 COUNTRY ROAD, WESTPORT, CT, 06905
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-23 |
| Name of individual signing |
DWAYNE HAGENOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRI-STATE RESTORE, LLC. 401(K) PLAN
|
2021
|
830639862
|
2022-09-28
|
TRI-STATE RESTORE LLC.
|
26
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
9173715199
|
| Plan sponsor’s
address |
6 COUNTRY ROAD, WESTPORT, CT, 06905
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-28 |
| Name of individual signing |
FELICIA SALE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRI-STATE RESTORE, LLC. 401 (K) PLAN
|
2020
|
830639862
|
2022-07-07
|
TRI-STATE RESTORE LLC.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
9173715199
|
| Plan sponsor’s
address |
6 COUNTRY RD, WESTPORT, CT, 068802522
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-07 |
| Name of individual signing |
DWAYNE HAGENOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRI-STATE RESTORE, LLC. 401(K) PLAN
|
2020
|
830639862
|
2022-06-30
|
TRI-STATE RESTORE LLC.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
9173715199
|
| Plan sponsor’s
address |
6 COUNTRY ROAD, WESTPORT, CT, 06905
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-30 |
| Name of individual signing |
DWAYNE HAGENOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
