PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2022
|
411233925
|
2023-05-22
|
PETERS BILLIARDS
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2023-05-22 |
Name of individual signing |
KRISTIN MCGINNESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2021
|
411233925
|
2022-07-27
|
PETERS BILLIARDS
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
KRISTIN MCGINNESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2020
|
411233925
|
2021-11-11
|
PETERS BILLIARDS
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2021-11-11 |
Name of individual signing |
KRISTIN MCGINNESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2019
|
411233925
|
2020-11-11
|
PETERS BILLIARDS
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2020-11-11 |
Name of individual signing |
KRISTIN MCGINNESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2018
|
411233925
|
2019-07-10
|
PETERS BILLIARDS
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
KRISTIN MCGINNESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2017
|
411233925
|
2018-12-17
|
PETERS BILLIARDS
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2018-12-17 |
Name of individual signing |
KRISTIN MCGINNESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2016
|
411233925
|
2017-10-24
|
PETERS BILLIARDS
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2017-10-24 |
Name of individual signing |
JAN PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2015
|
411233925
|
2016-12-22
|
PETERS BILLIARDS
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2016-12-22 |
Name of individual signing |
JAN PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2014
|
411233925
|
2015-10-16
|
PETERS BILLIARDS
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2015-10-16 |
Name of individual signing |
JAN PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS BILLIARDS 401K PROFIT SHARING PLAN
|
2013
|
411233925
|
2014-10-03
|
PETERS BILLIARDS
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
453990
|
Sponsor’s telephone number |
6128668433
|
Plan sponsor’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227
|
Plan administrator’s name and address
Administrator’s EIN |
411233925 |
Plan administrator’s name |
PETERS BILLIARDS |
Plan administrator’s
address |
6150 LYNDALE AVE S, MINNEAPOLIS, MN, 554192227 |
Administrator’s telephone number |
6128668433 |
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
JAN PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|