Original filing (PDF)20251013084125NAL0000386803001

PURE SOURCE, LLC

Name: PURE SOURCE, LLC — PURE SOURCE, LLC RETIREMENT PLAN, Form 5500 (2024)
Creator: PURE SOURCE, LLC

Form 5500

FILING_RECEIVED

PURE SOURCE, LLC RETIREMENT PLAN

401(k) retirement plan

Active participants

110

Accounts w/ balance

113

Plan assets (EOY)

$4.2M

Net assets (EOY)

$4.2M

How this plan invests

This plan

1 collective trust

Schedule D

Individual securities

on each trust's filing

This plan doesn't hold securities directly — it invests through trusts. Click a trust below to drill into its securities.

Plan health score (directional)

/ 100

Grade A

Top-tier plan health

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

100

Concentration risk

Total plan cost

100

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for PURE SOURCE, LLC.

Plan sponsor

Name

PURE SOURCE, LLC

EIN

65-0588961

Address

9750 NW 17TH STREET · MIAMI BEACH, FL · 33172

Phone

(305) 477-8111

Industry

Wholesale Tradesee all

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

001

Plan year

2024

Plan year begin

2024-01-01

Tax period

2024-12-31

Filed

2025-10-13

Pension benefit codes

2A · Age/service weighted or new comparability

2E · Profit-sharing

2F · ERISA section 404(c)

2G · Total participant-directed accounts

2J · 401(k) feature

3D · Pre-approved plan (master / prototype / VS)

3H · Sponsor in controlled / affiliated group

Audit & trust (Schedule H)

Service providers (Schedule C)

4 rows

Recordkeeper

Name	EIN	Location	Relation	Direct comp	Indirect comp
EMPOWER ANNUITY INSURANCE COMPANY	01-0233346	GREENWOOD VILLAGE, CO	RECORDKEEPER	$765	—

Advisor / Consultant

Name	EIN	Location	Relation	Direct comp	Indirect comp
PROVENANCE WEALTH ADVISORS LLC	65-0978008	MIAMI, FL	INVESTMENT ADVISOR	$17K	—

TPA / Administrator

Name	EIN	Location

Investments

1 pooled fund· $4.1M(98% of reported assets)

Rows tagged as a trust or pooled fund hold many underlying securities. Their holdings are itemized on each fund’s own Form 5500.

Investment	Type	Current value	% of plan
SEPARATE ACCOUNT SCAI MASS MUTUAL · EIN 04-1590850 / PN 000	Pooled Separate Account	$4.1M	98.4%

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