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CLOVER INTELLIGENCE, INC.

Company Details

Name: CLOVER INTELLIGENCE, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 13 Aug 2024 (3 months ago)
Entity Number: 7397289
ZIP code: 10003
County: New York
Place of Formation: Delaware
Foreign Legal Name: CLOVER INTELLIGENCE, INC.
Address: 351 east 13th street,, apt 2f, NEW YORK, NY, United States, 10003

form 5500

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

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 351 east 13th street,, apt 2f, NEW YORK, NY, United States, 10003

Filings

Filing Number Date Filed Type Effective Date
240814002868 2024-08-13 APPLICATION OF AUTHORITY 2024-08-13

Date of last update: 18 Nov 2024

Sources: New York Secretary of State