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LEGACY J1113 LLC

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Entity Number 000-523-085

Register Number000523085

Status Exists

NameLEGACY J1113 LLC

CountyMontgomery

Date of registration 29 Jun 2018 (6 years ago)

Legal typeDomestic Limited Liability Company

Registered Office Street Address 1653 MARTIN STREET NORTHPELL CITY, AL 36125

Registered Office Street Address ZIP code 36125

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN

2023

831011240

2024-07-01

LEGACY J1113, LLC

22

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Three-digit plan number (PN)020
Effective date of plan2020-01-01
Business code722511
Sponsor’s telephone number2055250539
Plan sponsor’s address1653 MARTIN STREET N., PELL CITY, AL, 35125

Plan administrator’s name and address

Administrator’s EIN262312094
Plan administrator’s nameTPC QUALIFIED PLANS LLC
Plan administrator’s address11215 N COMMUNITY HOUSE RD #800, CHARLOTTE, NC, 28277
Administrator’s telephone number8885054484

Signature of

RolePlan administrator
Date2024-07-01
Name of individual signingMELISSA VERSNIK

TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN

2022

831011240

2023-06-29

LEGACY J1113, LLC

16

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Three-digit plan number (PN)020
Effective date of plan2020-01-01
Business code722511
Sponsor’s telephone number2055250539
Plan sponsor’s address1653 MARTIN STREET N., PELL CITY, AL, 35125

Plan administrator’s name and address

Administrator’s EIN262312094
Plan administrator’s nameTPC QUALIFIED PLANS LLC
Plan administrator’s address2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number8885054484

Signature of

RolePlan administrator
Date2023-06-29
Name of individual signingMELISSA VERSNIK

TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN

2022

831011240

2023-06-28

LEGACY J1113, LLC

16

Three-digit plan number (PN)020
Effective date of plan2020-01-01
Business code722511
Sponsor’s telephone number2055250539
Plan sponsor’s address1653 MARTIN STREET N., PELL CITY, AL, 35125

Plan administrator’s name and address

Administrator’s EIN262312094
Plan administrator’s nameTPC QUALIFIED PLANS LLC
Plan administrator’s address2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number8885054484

TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN

2021

831011240

2022-06-20

LEGACY J1113, LLC

19

View Page

Three-digit plan number (PN)020
Effective date of plan2020-01-01
Business code722511
Sponsor’s telephone number2055250539
Plan sponsor’s address1653 MARTIN STREET N., PELL CITY, AL, 35125

Plan administrator’s name and address

Administrator’s EIN262312094
Plan administrator’s nameTPC QUALIFIED PLANS LLC
Plan administrator’s address2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number8885054484

Signature of

RolePlan administrator
Date2022-06-20
Name of individual signingNEIL SHIFMAN

TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN

2020

831011240

2021-05-20

LEGACY J1113, LLC

14

View Page

Three-digit plan number (PN)020
Effective date of plan2020-01-01
Business code722511
Sponsor’s telephone number2055250539
Plan sponsor’s address1653 MARTIN STREET N., PELL CITY, AL, 35125

Plan administrator’s name and address

Administrator’s EIN262312094
Plan administrator’s nameTPC QUALIFIED PLANS LLC
Plan administrator’s address2355 JFK ROAD, DUBUQUE, IA, 52004
Administrator’s telephone number8885054484

Signature of

RolePlan administrator
Date2021-05-20
Name of individual signingNEIL SHIFMAN

Agent

Name Role

JENNINGS, BRIAN S

Agent

Organizer

Name Role Address

BURKHALTER, TED A JR

Organizer

605 SMITHVIEW DRIVEMARYVILLE, TN 37804

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State