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  5. Award Staffing

Award Staffing

Company Details

Name: Award Staffing
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 14 Aug 2017 (7 years ago)
Company Number: 1f0c75ed-1781-e711-8181-00155d01c6c6
File Number: 961062200028
Principal Place of Business Address: 10700 Lyndale Ave. South, Suite 100, Bloomington, MN 55420, USA
ZIP code: 55420
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AWARD STAFFING RETIREMENT SAVINGS PLAN 2014 200753412 2015-05-18 AWARD STAFFING 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561110
Sponsor’s telephone number 9529249000
Plan sponsor’s address 10700 LYNDALE AVENUE S # 100, BLOOMINGTON, MN, 55420

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing SHELBY S. HAUTMAN
Valid signature Filed with authorized/valid electronic signature
AWARD STAFFING RETIREMENT SAVINGS PLAN 2014 200753412 2015-05-15 AWARD STAFFING 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561110
Sponsor’s telephone number 9529249000
Plan sponsor’s address 10700 LYNDALE AVENUE S # 100, BLOOMINGTON, MN, 55420

Signature of
Role Plan administrator
Date 2015-05-15
Name of individual signing SHELBY S. HAUTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-15
Name of individual signing SHELBY S. HAUTMAN
Valid signature Filed with authorized/valid electronic signature
AWARD STAFFING RETIREMENT SAVINGS PLAN 2013 200753412 2014-07-22 AWARD STAFFING 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561110
Sponsor’s telephone number 9529249000
Plan sponsor’s address 10700 LYNDALE AVENUE S #100, BLOOMINGTON, MN, 55420

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing SHELBY S. HAUTMAN
Valid signature Filed with authorized/valid electronic signature
AWARD STAFFING RETIREMENT SAVINGS PLAN 2012 200753412 2013-05-03 AWARD STAFFING 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561110
Sponsor’s telephone number 9529249000
Plan sponsor’s address 8030 OLD CEDAR AVE S. SUITE 110, BLOOMINGTON, MN, 55425

Signature of
Role Plan administrator
Date 2013-05-03
Name of individual signing PAM FOWLER
Valid signature Filed with authorized/valid electronic signature
AWARD STAFFING RETIREMENT SAVINGS PLAN 2011 200753412 2012-05-21 AWARD STAFFING 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561110
Sponsor’s telephone number 9529249000
Plan sponsor’s address 8030 OLD CEDAR AVE S. SUITE 110, BLOOMINGTON, MN, 55425

Plan administrator’s name and address
Administrator’s EIN 200753412
Plan administrator’s name AWARD STAFFING
Plan administrator’s address 8030 OLD CEDAR AVE S. SUITE 110, BLOOMINGTON, MN, 55425
Administrator’s telephone number 9529249000

Signature of
Role Plan administrator
Date 2012-05-21
Name of individual signing PAM FOWLER
Valid signature Filed with authorized/valid electronic signature
AWARD STAFFING RETIREMENT SAVINGS PLAN 2010 200753412 2011-06-16 AWARD STAFFING 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561110
Sponsor’s telephone number 9529249000
Plan sponsor’s address 8030 OLD CEDAR AVE S. SUITE 110, BLOOMINGTON, MN, 55425

Plan administrator’s name and address
Administrator’s EIN 200753412
Plan administrator’s name AWARD STAFFING
Plan administrator’s address 8030 OLD CEDAR AVE S. SUITE 110, BLOOMINGTON, MN, 55425
Administrator’s telephone number 9529249000

Signature of
Role Plan administrator
Date 2011-06-16
Name of individual signing PAM FOWLER
Valid signature Filed with authorized/valid electronic signature
AWARD STAFFING RETIREMENT SAVINGS PLAN 2009 200753412 2010-07-16 AWARD STAFFING 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 561110
Sponsor’s telephone number 9529249000
Plan sponsor’s address 8030 OLD CEDAR AVE S. SUITE 110, BLOOMINGTON, MN, 55425

Plan administrator’s name and address
Administrator’s EIN 200753412
Plan administrator’s name AWARD STAFFING
Plan administrator’s address 8030 OLD CEDAR AVE S. SUITE 110, BLOOMINGTON, MN, 55425
Administrator’s telephone number 9529249000

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing PAM FOWLER
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Award Staffing Services, Inc. Aplicant 10700 Lyndale Ave. South, Suite 100, Bloomington, MN 55420

Filing

Filing Name Filing date
Administrative Expiration - Assumed Name 2021-02-12
Original Filing - Assumed Name (Business Name: Award Staffing) 2017-08-14

Related by officers

Award Staffing Services, Inc.

Delta Companies

Related by address

No related companies by address

Date of last update: 05 Jan 2025

Sources: Minnesota's Official State Website

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