|
FORM FACTOR PC INC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
201519534
|
2024-06-17
|
FORM FACTOR PC INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
6124813177
|
| Plan sponsor’s
address |
2515 WHITE BEAR AVENUE SUITE 1, A-8 108, SAINT PAUL, MN, 551095810
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-17 |
| Name of individual signing |
BENJAMIN LAVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FORM FACTOR PC INC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
201519534
|
2023-07-24
|
FORM FACTOR PC INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
6124813177
|
| Plan sponsor’s
address |
2515 WHITE BEAR AVENUE N, A8, STE #108, SAINT PAUL, MN, 551095810
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-24 |
| Name of individual signing |
BENJAMIN LAVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FORM FACTOR PC INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
201519534
|
2022-07-18
|
FORM FACTOR PC INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
6124813177
|
| Plan sponsor’s
address |
2515 WHITE BEAR AVENUE SUITE 1, SAINT PAUL, MN, 551095810
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-18 |
| Name of individual signing |
BENJAMIN LAVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FORM FACTOR PC INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
201519534
|
2021-05-06
|
FORM FACTOR PC INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
6124813177
|
| Plan sponsor’s
address |
2515 WHITE BEAR AVENUE SUITE 1, SAINT PAUL, MN, 551095810
|
Signature of
| Role |
Plan administrator |
| Date |
2021-05-06 |
| Name of individual signing |
BENJAMIN LAVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FORM FACTOR PC INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
201519534
|
2020-07-07
|
FORM FACTOR PC INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
6124813177
|
| Plan sponsor’s
address |
2515 WHITE BEAR AVENUE SUITE 1, SAINT PAUL, MN, 551095810
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-07 |
| Name of individual signing |
BEN LAVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
