CHALLENGE AUTOMATION 401(K) RETIREMENT PLAN
|
2023
|
264639334
|
2024-10-02
|
CHALLENGE AUTOMATION, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIRCLE, SUITE D, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2024-10-02 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-02 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION 401(K) RETIREMENT PLAN
|
2022
|
264639334
|
2023-09-20
|
CHALLENGE AUTOMATION, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIRCLE, SUITE D, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2023-09-20 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-20 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
264639334
|
2023-09-02
|
CHALLENGE AUTOMATION LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-03-01
|
Business code |
333900
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIR STE D, TUPELO, MS, 388017006
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2023-09-01 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION 401(K) RETIREMENT PLAN
|
2021
|
264639334
|
2022-09-22
|
CHALLENGE AUTOMATION, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIRCLE, SUITE D, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2022-09-22 |
Name of individual signing |
MARCIE WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-22 |
Name of individual signing |
MARCIE WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
264639334
|
2022-12-14
|
CHALLENGE AUTOMATION LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-03-01
|
Business code |
333900
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIR STE D, TUPELO, MS, 388017006
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-12-14 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION 401(K) RETIREMENT PLAN
|
2020
|
264639334
|
2021-06-29
|
CHALLENGE AUTOMATION, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIRCLE, SUITE D, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2021-06-29 |
Name of individual signing |
MARCIE WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION 401(K) RETIREMENT PLAN
|
2019
|
264639334
|
2020-08-19
|
CHALLENGE AUTOMATION, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIRCLE, SUITE D, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2020-08-19 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-19 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION 401(K) RETIREMENT PLAN
|
2018
|
264639334
|
2019-06-07
|
CHALLENGE AUTOMATION, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIRCLE, SUITE D, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2019-06-07 |
Name of individual signing |
MARCIE WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-07 |
Name of individual signing |
MARCIE WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION 401(K) RETIREMENT PLAN
|
2017
|
264639334
|
2018-10-08
|
CHALLENGE AUTOMATION, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2725 OLD BELDEN CIRCLE, SUITE D, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-08 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHALLENGE AUTOMATION WELFARE BENEFIT PLAN
|
2014
|
264639334
|
2015-09-25
|
CHALLENGE AUTOMATION LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-03-01
|
Business code |
333200
|
Sponsor’s telephone number |
6626908383
|
Plan sponsor’s
address |
2155 MCCULLOUGH BLVD, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2015-09-25 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-25 |
Name of individual signing |
ERIC NANNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|