LARSON PLUMBING, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
411457513
|
2013-10-15
|
LARSON PLUMBING, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
7634277680
|
Plan sponsor’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
JIM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARSON PLUMBING, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
411457513
|
2012-06-26
|
LARSON PLUMBING, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
7634277680
|
Plan sponsor’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411457513 |
Plan administrator’s name |
LARSON PLUMBING, INC. |
Plan administrator’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304 |
Administrator’s telephone number |
7634277680 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
JIM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARSON PLUMBING, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
411457513
|
2011-06-21
|
LARSON PLUMBING, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
7634277680
|
Plan sponsor’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411457513 |
Plan administrator’s name |
LARSON PLUMBING, INC. |
Plan administrator’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304 |
Administrator’s telephone number |
7634277680 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
JIM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARSON PLUMBING INC 401 (K) PROFIT SHARING PLAN AND TRUST
|
2009
|
411457513
|
2010-04-15
|
LARSON PLUMBING, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
7634277680
|
Plan sponsor’s mailing address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Plan sponsor’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411457513 |
Plan administrator’s name |
LARSON PLUMBING, INC. |
Plan administrator’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304 |
Administrator’s telephone number |
7634277680 |
Number of participants as of the end of the plan year
Active participants |
18 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
18 |
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 |
27 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
10 |
Signature of
Role |
Plan administrator |
Date |
2010-04-15 |
Name of individual signing |
JIM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARSON PLUMBING, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
411457513
|
2010-04-15
|
LARSON PLUMBING, INC.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
7634277680
|
Plan sponsor’s mailing address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Plan sponsor’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411457513 |
Plan administrator’s name |
LARSON PLUMBING, INC. |
Plan administrator’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304 |
Administrator’s telephone number |
7634277680 |
Number of participants as of the end of the plan year
Active participants |
30 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
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 |
30 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2010-04-15 |
Name of individual signing |
JIM LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LARSON PLUMBING, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
411457513
|
2010-07-07
|
LARSON PLUMBING, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
7634277680
|
Plan sponsor’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304
|
Plan administrator’s name and address
Administrator’s EIN |
411457513 |
Plan administrator’s name |
LARSON PLUMBING, INC. |
Plan administrator’s
address |
3095 162ND LANE NW, ANDOVER, MN, 55304 |
Administrator’s telephone number |
7634277680 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
JIM LARSON, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-07 |
Name of individual signing |
JIM LARSON, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|