121 G VESTIGE GROUP, LLC

Business Information

Doing Business As	IMPACT 21
URL	www.impact21.com
Congressional District	06
State/Country of Incorporation	KY, USA
Activation Date	2023-12-13
Initial Registration Date	2016-04-07
Entity Start Date	1998-09-04
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes	541611, 541612, 541613, 541618
Product and Service Codes	R499

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	ARLENE MALLORY
Role	ACCOUNTING MANAGER
Address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509, USA

Government Business
Title	PRIMARY POC
Name	ARLENE MALLORY
Role	ACCOUNTING MANAGER
Address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509, USA

Past Performance
Title	ALTERNATE POC
Name	MITZIE DAVIDSON
Role	ADMINISTRATION MANAGER
Address	2700 OLD ROSEBUD RD STE 240, LEXINGTON, KY, 40509, USA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

Signature of

Role	Plan administrator
Date	2020-07-14
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

Signature of

Role	Plan administrator
Date	2019-07-22
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

Signature of

Role	Plan administrator
Date	2018-06-18
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

Signature of

Role	Plan administrator
Date	2017-07-20
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s DBA name	IMPACT 21
Plan sponsor’s address	2700 OLD ROSEBUD RD STE 240, LEXINGTON, KY, 405098625

Signature of

Role	Plan administrator
Date	2016-07-19
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2016-07-19
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/27/20160727094824P030051968759001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Sponsor’s telephone number	8593172158
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

Signature of

Role	Plan administrator
Date	2016-07-27
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

Signature of

Role	Employer/plan sponsor
Date	2015-07-13
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/16/20150716084752P030116111089001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	541990
Plan sponsor’s address	2700 OLD ROSEBUD ROAD, SUITE 240, LEXINGTON, KY, 40509

Signature of

Role	Plan administrator
Date	2015-07-16
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2015-07-16
Name of individual signing	LISA STEWART
Valid signature	Filed with authorized/valid electronic signature