|
RUBICON BENEFITS, LLC 401(K) PLAN
|
2022
|
462384089
|
2023-08-21
|
RUBICON BENEFITS, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-03-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6313865660
|
| Plan sponsor’s
address |
718 WALT WHITMAN ROAD, UNIT 1568, MELVILLE, NY, 11747
|
Signature of
| Role |
Plan administrator |
| Date |
2023-08-21 |
| Name of individual signing |
ADAM ROSENFELD |
|
|
|
RUBICON BENEFITS, LLC 401(K) PLAN
|
2022
|
462384089
|
2023-03-31
|
RUBICON BENEFITS, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-03-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6313865660
|
| Plan sponsor’s
address |
718 WALT WHITMAN ROAD, UNIT 1568, MELVILLE, NY, 11747
|
Signature of
| Role |
Plan administrator |
| Date |
2023-03-31 |
| Name of individual signing |
ADAM ROSENFELD |
|
|
|
RUBICON BENEFITS, LLC 401(K) PLAN
|
2021
|
452384089
|
2022-06-24
|
RUBICON BENEFITS, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-03-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6313865660
|
| Plan sponsor’s
address |
125 BAYLIS ROAD, SUITE 300, MELVILLE, NY, 11747
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-24 |
| Name of individual signing |
TARA EVANS |
|
|
|
RUBICON BENEFITS, LLC 401(K) PLAN
|
2021
|
452384089
|
2022-06-24
|
RUBICON BENEFITS, LLC
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-03-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6313865660
|
| Plan sponsor’s
address |
125 BAYLIS ROAD, SUITE 300, MELVILLE, NY, 11747
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-24 |
| Name of individual signing |
TARA EVANS |
|
|
|
RUBICON BENEFITS, LLC 401(K) PLAN
|
2020
|
452384089
|
2021-10-05
|
RUBICON BENEFITS, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-03-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6313865660
|
| Plan sponsor’s
address |
125 BAYLIS ROAD, SUITE 300, MELVILLE, NY, 11747
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2021-10-05 |
| Name of individual signing |
PHIL TISUE |
|
|
