MAGGIE SUBY INSURANCE AGENCY, INC 401(K) PLAN
|
2018
|
710868023
|
2019-02-22
|
MAGGIE SUBY INSURANCE AGENCY, INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6122984300
|
Plan sponsor’s
address |
17137 KIRBEN AVE, LAKEVILLE, MN, 55044
|
Signature of
Role |
Plan administrator |
Date |
2019-02-22 |
Name of individual signing |
MOUSHIRA SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC 401(K) PLAN
|
2017
|
710868023
|
2018-06-21
|
MAGGIE SUBY INSURANCE AGENCY, INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6122984300
|
Plan sponsor’s
address |
17137 KIRBEN AVE, LAKEVILLE, MN, 55044
|
Signature of
Role |
Plan administrator |
Date |
2018-06-21 |
Name of individual signing |
MOUSHIRA SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC 401(K) PLAN
|
2016
|
710868023
|
2017-10-09
|
MAGGIE SUBY INSURANCE AGENCY, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1570 CENTURY POINT STE. 100, EAGAN, MN, 55121
|
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
MOUSHIRA SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC 401(K) PLAN
|
2015
|
710868023
|
2016-06-22
|
MAGGIE SUBY INSURANCE AGENCY, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1570 CENTURY POINT STE. 100, EAGAN, MN, 55121
|
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
M. MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC. 401(K) PLAN
|
2014
|
710868023
|
2015-02-18
|
MAGGIE SUBY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1570 CENTURY POINT, STE. 100, EAGAN, MN, 551211801
|
Signature of
Role |
Plan administrator |
Date |
2015-02-18 |
Name of individual signing |
MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-02-18 |
Name of individual signing |
MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC. 401(K) PLAN
|
2013
|
710868023
|
2014-06-17
|
MAGGIE SUBY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1570 CENTURY POINT, STE. 100, EAGAN, MN, 551211801
|
Signature of
Role |
Plan administrator |
Date |
2014-06-17 |
Name of individual signing |
MOUSHIRA MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-17 |
Name of individual signing |
MOUSHIRA MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC. 401(K) PLAN
|
2012
|
710868023
|
2013-09-03
|
MAGGIE SUBY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1570 CENTURY, EAGAN, MN, 551211801
|
Signature of
Role |
Plan administrator |
Date |
2013-09-03 |
Name of individual signing |
M MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-03 |
Name of individual signing |
M MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC. 401(K) PLAN
|
2011
|
710868023
|
2012-07-05
|
MAGGIE SUBY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1434 YANKEE DOODLE ROAD, EAGAN, MN, 551211801
|
Plan administrator’s name and address
Administrator’s EIN |
710868023 |
Plan administrator’s name |
MAGGIE SUBY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1434 YANKEE DOODLE ROAD, EAGAN, MN, 551211801 |
Administrator’s telephone number |
6514547843 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
MOUSHIRA MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-05 |
Name of individual signing |
MOUSHIRA MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC. 401(K) PLAN
|
2010
|
710868023
|
2011-07-13
|
MAGGIE SUBY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1434 YANKEE DOODLE ROAD, EAGAN, MN, 551211801
|
Plan administrator’s name and address
Administrator’s EIN |
710868023 |
Plan administrator’s name |
MAGGIE SUBY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1434 YANKEE DOODLE ROAD, EAGAN, MN, 551211801 |
Administrator’s telephone number |
6514547843 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
M. MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-13 |
Name of individual signing |
M. MAGGIE SUBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAGGIE SUBY INSURANCE AGENCY, INC. 401(K) PLAN
|
2009
|
710868023
|
2010-07-14
|
MAGGIE SUBY INSURANCE AGENCY, INC.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514547843
|
Plan sponsor’s
address |
1434 YANKEE DOODLE ROAD, EAGAN, MN, 551211801
|
Plan administrator’s name and address
Administrator’s EIN |
710868023 |
Plan administrator’s name |
MAGGIE SUBY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1434 YANKEE DOODLE ROAD, EAGAN, MN, 551211801 |
Administrator’s telephone number |
6514547843 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
MOUSHIRA SUBY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
MOUSHIRA SUBY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|