BERGSTROM JEWELERS PROFIT SHARING PLAN
|
2017
|
411226318
|
2018-07-30
|
BERGSTROM JEWELERS, INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-01
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s
address |
1695 WEST END BLVD., ST. LOUIS PARK, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS PROFIT SHARING PLAN
|
2016
|
411226318
|
2017-09-26
|
BERGSTROM JEWELERS, INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-01
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s
address |
1695 WEST END BLVD., ST. LOUIS PARK, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2017-09-26 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-26 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS PROFIT SHARING PLAN
|
2015
|
411226318
|
2016-08-31
|
BERGSTROM JEWELERS, INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-01
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s
address |
1695 WEST END BLVD., ST. LOUIS PARK, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2016-08-31 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-31 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS PROFIT SHARING PLAN
|
2014
|
411226318
|
2015-10-21
|
BERGSTROM JEWELERS, INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-01
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s
address |
1695 WEST END BLVD., ST. LOUIS PARK, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2015-10-21 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-21 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS PROFIT SHARING PLAN
|
2013
|
411226318
|
2014-06-26
|
BERGSTROM JEWELERS, INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-01
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s
address |
1695 WEST END BLVD., ST. LOUIS PARK, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-26 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS INC. EMPLOYEE STOCK OWNERSHIP PLAN
|
2012
|
411226318
|
2013-06-13
|
BERGSTROM JEWELERS, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1986-12-30
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s mailing address |
1695 WEST END BOULEVARD, ST. LOUIS PARK, MN, 55416
|
Plan sponsor’s
address |
1695 WEST END BOULEVARD, ST. LOUIS PARK, MN, 55416
|
Number of participants as of the end of the plan year
Active participants |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-06-13 |
Name of individual signing |
ROBERT ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-13 |
Name of individual signing |
ROBERT ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS PROFIT SHARING PLAN
|
2012
|
411226318
|
2013-06-07
|
BERGSTROM JEWELERS, INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-01
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s
address |
1695 WEST END BLVD., ST. LOUIS PARK, MN, 55416
|
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-07 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS PROFIT SHARING PLAN
|
2012
|
411226318
|
2013-06-07
|
BERGSTROM JEWELERS, INC
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1974-07-01
|
Business code |
448310
|
Sponsor’s telephone number |
6123320552
|
Plan sponsor’s
address |
12 SOUTH 6TH STREET #229, MINNEAPOLIS, MN, 55402
|
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-07 |
Name of individual signing |
ROBERT B. ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS INC. EMPLOYEE STOCK OWNERSHIP PLAN
|
2011
|
411226318
|
2012-12-20
|
BERGSTROM JEWELERS, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1986-12-30
|
Business code |
448310
|
Sponsor’s telephone number |
9527670606
|
Plan sponsor’s mailing address |
1695 WEST END BOULEVARD, ST. LOUIS PARK, MN, 55416
|
Plan sponsor’s
address |
1695 WEST END BOULEVARD, ST. LOUIS PARK, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
411226318 |
Plan administrator’s name |
BERGSTROM JEWELERS, INC. |
Plan administrator’s
address |
1695 WEST END BOULEVARD, ST. LOUIS PARK, MN, 55416 |
Administrator’s telephone number |
9527670606 |
Number of participants as of the end of the plan year
Active participants |
14 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-12-20 |
Name of individual signing |
ROBERT ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSTROM JEWELERS INC. EMPLOYEE STOCK OWNERSHIP PLAN
|
2011
|
411226318
|
2012-02-17
|
BERGSTROM JEWELERS, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1986-12-31
|
Business code |
448310
|
Plan sponsor’s mailing address |
1695 WEST END BLVD, ST. LOUIS PARK, MN, 55416
|
Plan sponsor’s
address |
1695 WEST END BLVD, ST. LOUIS PARK, MN, 55416
|
Plan administrator’s name and address
Administrator’s EIN |
411226318 |
Plan administrator’s name |
BERGSTROM JEWELERS, INC. |
Plan administrator’s
address |
1695 WEST END BLVD, ST. LOUIS PARK, MN, 55416 |
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
17 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-02-17 |
Name of individual signing |
ROBERT ZAGAROS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|