JIVARO, INC. 401(K) PLAN
|
2022
|
770517292
|
2023-10-03
|
JIVARO, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2021
|
770517292
|
2022-10-04
|
JIVARO, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2022-10-04 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2020
|
770517292
|
2021-05-21
|
JIVARO, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2021-05-21 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2019
|
770517292
|
2020-05-27
|
JIVARO, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2020-05-27 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2018
|
770517292
|
2019-04-10
|
JIVARO, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-10 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2017
|
770517292
|
2018-08-06
|
JIVARO, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2018-08-06 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-06 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2016
|
770517292
|
2017-07-26
|
JIVARO, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2015
|
770517292
|
2016-07-19
|
JIVARO, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
PO BOX 704, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2014
|
770517292
|
2015-06-30
|
JIVARO, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887917
|
Plan sponsor’s
address |
117 NORTH RIVER STREET, HAILEY, ID, 83313
|
Signature of
Role |
Plan administrator |
Date |
2015-06-25 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-25 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIVARO, INC. 401(K) PLAN
|
2013
|
770517292
|
2014-07-28
|
JIVARO, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-02-01
|
Business code |
561300
|
Sponsor’s telephone number |
2087887918
|
Plan sponsor’s
address |
P.O. BOX 704, HAILEY, ID, 833130704
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
SARAH GARDNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|