CLOVER INTELLIGENCE, INC. 401(K) PLAN
|
2023
|
812710823
|
2024-05-03
|
CLOVER INTELLIGENCE, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-03-25
|
Business code |
541990
|
Sponsor’s telephone number |
8474942629
|
Plan sponsor’s
address |
601 EAST 11TH STREET, 4A, NEW YORK, NY, 10009
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2024-05-03 |
Name of individual signing |
QIAN LIU |
|
|
CLOVER INTELLIGENCE, INC. 401(K) PLAN
|
2022
|
812710823
|
2023-08-11
|
CLOVER INTELLIGENCE, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-03-25
|
Business code |
541990
|
Sponsor’s telephone number |
8474942629
|
Plan sponsor’s
address |
601 EAST 11TH STREET, 4A, NEW YORK, NY, 10009
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2023-08-11 |
Name of individual signing |
CHRISTINE RIMER |
|
|