401K EMPLOYEE RETIREMENT PLAN
|
2021
|
275174445
|
2022-07-14
|
DIVA WEIGHT LOSS, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
7692511040
|
Plan sponsor’s
address |
680 HWY 51, STE C, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2020
|
275174445
|
2021-07-27
|
DIVA WEIGHT LOSS, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
7692511040
|
Plan sponsor’s
address |
680 HWY 51, STE C, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2019
|
275174445
|
2020-07-22
|
DIVA WEIGHT LOSS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
7692511040
|
Plan sponsor’s
address |
680 HWY 51, STE C, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2018
|
275174445
|
2019-07-26
|
DIVA WEIGHT LOSS, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
7692511040
|
Plan sponsor’s
address |
680 HWY 51, STE C, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2017
|
275174445
|
2018-07-30
|
DIVA WEIGHT LOSS, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
7692511040
|
Plan sponsor’s
address |
680 HWY 51, STE C, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2016
|
275174445
|
2017-07-05
|
DIVA WEIGHT LOSS, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
7692511040
|
Plan sponsor’s
address |
680 HWY 51, STE C, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2017-07-05 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2015
|
275174445
|
2016-06-30
|
DIVA WEIGHT LOSS, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
7692511040
|
Plan sponsor’s
address |
680 HWY 51, STE C, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|