|
MARK JACOBSON, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
410799964
|
2013-03-28
|
MARK JACOBSON, INC.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
5072832319
|
| Plan sponsor’s
address |
410 W. KOEHN, LUVERNE, MN, 56156
|
Plan administrator’s name and address
| Administrator’s EIN |
410799964 |
| Plan administrator’s name |
MARK JACOBSON, INC. |
| Plan administrator’s
address |
410 W. KOEHN, LUVERNE, MN, 56156 |
| Administrator’s telephone number |
5072832319 |
Signature of
| Role |
Plan administrator |
| Date |
2013-03-28 |
| Name of individual signing |
SHIRLEY BOEVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK JACOBSON, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
410799964
|
2013-03-27
|
MARK JACOBSON, INC.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
5072832319
|
| Plan sponsor’s
address |
410 W. KOEHN, LUVERNE, MN, 56156
|
Plan administrator’s name and address
| Administrator’s EIN |
410799964 |
| Plan administrator’s name |
MARK JACOBSON, INC. |
| Plan administrator’s
address |
410 W. KOEHN, LUVERNE, MN, 56156 |
| Administrator’s telephone number |
5072832319 |
Signature of
| Role |
Plan administrator |
| Date |
2013-03-27 |
| Name of individual signing |
SHIRLEY BOEVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK JACOBSON, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
410799964
|
2012-01-09
|
MARK JACOBSON, INC.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
5072832319
|
| Plan sponsor’s
address |
410 W. KOEHN, LUVERNE, MN, 56156
|
Plan administrator’s name and address
| Administrator’s EIN |
410799964 |
| Plan administrator’s name |
MARK JACOBSON, INC. |
| Plan administrator’s
address |
410 W. KOEHN, LUVERNE, MN, 56156 |
| Administrator’s telephone number |
5072832319 |
Signature of
| Role |
Plan administrator |
| Date |
2012-01-09 |
| Name of individual signing |
SHIRLEY BOEVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK JACOBSON, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
410799964
|
2011-01-11
|
MARK JACOBSON, INC.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-12-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
5072832319
|
| Plan sponsor’s
address |
410 W. KOEHN, LUVERNE, MN, 56156
|
Plan administrator’s name and address
| Administrator’s EIN |
410799964 |
| Plan administrator’s name |
MARK JACOBSON, INC. |
| Plan administrator’s
address |
410 W. KOEHN, LUVERNE, MN, 56156 |
| Administrator’s telephone number |
5072832319 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-11 |
| Name of individual signing |
SHIRLEY BOEVE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
