MCGOVERN AND FISHER INSURANCE AGENCY 401(K) PLAN
|
2010
|
411796455
|
2011-07-21
|
MCGOVERN AND FISHER INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9529968818
|
Plan sponsor’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008
|
Plan administrator’s name and address
Administrator’s EIN |
411796455 |
Plan administrator’s name |
MCGOVERN AND FISHER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008 |
Administrator’s telephone number |
9529968818 |
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
JOSEPH WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-21 |
Name of individual signing |
JOSEPH WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCGOVERN AND FISHER INSURANCE AGENCY 401(K) PLAN
|
2010
|
411796455
|
2011-07-19
|
MCGOVERN AND FISHER INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9529968818
|
Plan sponsor’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008
|
Plan administrator’s name and address
Administrator’s EIN |
411796455 |
Plan administrator’s name |
MCGOVERN AND FISHER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008 |
Administrator’s telephone number |
9529968818 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
REYNOLDS FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
REYNOLDS FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCGOVERN AND FISHER INSURANCE AGENCY 401(K) PLAN
|
2009
|
411796455
|
2011-07-19
|
MCGOVERN AND FISHER INSURANCE AGENCY, INC.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9529968818
|
Plan sponsor’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008
|
Plan administrator’s name and address
Administrator’s EIN |
411796455 |
Plan administrator’s name |
MCGOVERN AND FISHER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008 |
Administrator’s telephone number |
9529968818 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
REYNOLDS FISHER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
REYNOLDS FISHER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MCGOVERN AND FISHER INSURANCE AGENCY 401(K) PLAN
|
2009
|
411796455
|
2010-07-30
|
MCGOVERN AND FISHER INSURANCE AGENCY, INC.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9529968818
|
Plan sponsor’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008
|
Plan administrator’s name and address
Administrator’s EIN |
411796455 |
Plan administrator’s name |
MCGOVERN AND FISHER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008 |
Administrator’s telephone number |
9529968818 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
JOSEPH R. WALKER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-30 |
Name of individual signing |
JOSEPH R. WALKER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MCGOVERN AND FISHER INSURANCE AGENCY 401(K) PLAN
|
2009
|
411796455
|
2011-07-21
|
MCGOVERN AND FISHER INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9529968818
|
Plan sponsor’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008
|
Plan administrator’s name and address
Administrator’s EIN |
411796455 |
Plan administrator’s name |
MCGOVERN AND FISHER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008 |
Administrator’s telephone number |
9529968818 |
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
JOSEPH WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-21 |
Name of individual signing |
JOSEPH WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCGOVERN AND FISHER INSURANCE AGENCY 401(K) PLAN
|
2009
|
411796455
|
2010-08-02
|
MCGOVERN AND FISHER INSURANCE AGENCY, INC.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9529968818
|
Plan sponsor’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008
|
Plan administrator’s name and address
Administrator’s EIN |
411796455 |
Plan administrator’s name |
MCGOVERN AND FISHER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
8200 HIGHWOOD DR, BLOOMINGTON, MN, 554381008 |
Administrator’s telephone number |
9529968818 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
JOSEPH R. WALKER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-02 |
Name of individual signing |
JOSEPH R. WALKER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|