EMPLOVA LLC

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Three-digit plan number (PN)	333
Effective date of plan	2021-10-01
Business code	561300
Sponsor’s telephone number	6313090448
Plan sponsor’s address	330 SOUTH SERVICE ROAD, SUITE 125, MELVILLE, NY, 11747

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Three-digit plan number (PN)	333
Effective date of plan	2019-01-01
Business code	561110
Sponsor’s telephone number	6313090448
Plan sponsor’s address	33 WALT WHITMAN ROAD, SUITE 220, HUNTINGTON STATION, NY, 11746

Signature of

Role	Plan administrator
Date	2022-08-15
Name of individual signing	LISA BISHOP

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2021-10-01
Business code	561300
Sponsor’s telephone number	6313090448
Plan sponsor’s address	330 SOUTH SERVICE ROAD, SUITE 125, MELVILLE, NY, 11747

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	561110
Sponsor’s telephone number	6313090446
Plan sponsor’s address	330 SOUTH SERVICE ROAD, SUITE 125, MELVILLE, NY, 11747

Plan administrator’s name and address

Administrator’s EIN	133745616
Plan administrator’s name	PENTEGRA SERVICES, INC.
Plan administrator’s address	701 WESTCHESTER AVE, SUITE 320 E, WHITE PLAINS, NY, 10604
Administrator’s telephone number	8443672848

Signature of

Role	Plan administrator
Date	2021-06-23
Name of individual signing	BETTY CALDWELL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	561110
Sponsor’s telephone number	6313090448
Plan sponsor’s address	330 SOUTH SERVICE ROAD, SUITE 125, MELVILLE, NY, 11747

Plan administrator’s name and address

Administrator’s EIN	133745616
Plan administrator’s name	PENTEGRA SERVICES, INC.
Plan administrator’s address	701 WESTCHESTER AVE, SUITE 320 E, WHITE PLAINS, NY, 10604

Signature of

Role	Plan administrator
Date	2020-07-10
Name of individual signing	BETTY CALDWELL

Loan Status Date	2021-05-18
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	70800
Loan Approval Amount (current)	70800
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	464999
Servicing Lender Name	BankUnited, National Association
Servicing Lender Address	14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	New Business or 2 years or less
Project Address	MELVILLE, SUFFOLK, NY, 11747-0001
Project Congressional District	NY-01
Number of Employees	5
NAICS code	541612
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	464999
Originating Lender Name	BankUnited, National Association
Originating Lender Address	MIAMI LAKES, FL
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	71494.23
Forgiveness Paid Date	2021-04-08