PREVALENCE HOLDINGS, LLC. 401(K) PLAN
|
2011
|
364174656
|
2012-09-17
|
PREVALENCE HOLDINGS, LLC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019810070
|
Plan sponsor’s
address |
4270 I-55 NORTH, SUITE 102, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
364174656 |
Plan administrator’s name |
PREVALENCE HOLDINGS, LLC. |
Plan administrator’s
address |
4270 I-55 NORTH, SUITE 102, JACKSON, MS, 39211 |
Administrator’s telephone number |
6019810070 |
Signature of
Role |
Plan administrator |
Date |
2012-09-17 |
Name of individual signing |
DAVID FOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-17 |
Name of individual signing |
DAVID FOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREVALENCE HOLDINGS, LLC. 401(K) PLAN
|
2011
|
364174656
|
2012-07-19
|
PREVALENCE HOLDINGS, LLC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019810070
|
Plan sponsor’s
address |
4270 I-55 NORTH, SUITE 102, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
364174656 |
Plan administrator’s name |
PREVALENCE HOLDINGS, LLC. |
Plan administrator’s
address |
4270 I-55 NORTH, SUITE 102, JACKSON, MS, 39211 |
Administrator’s telephone number |
6019810070 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
DAVID FOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-19 |
Name of individual signing |
DAVID FOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREVALENCE HOLDINGS, LLC. 401(K) PLAN
|
2010
|
364174656
|
2011-10-10
|
PREVALENCE HOLDINGS, LLC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019810070
|
Plan sponsor’s
address |
219 KATHERINE DRIVE, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
364174656 |
Plan administrator’s name |
PREVALENCE HOLDINGS, LLC. |
Plan administrator’s
address |
219 KATHERINE DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019810070 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
DAVID FOWLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|