|
SMA INSURANCE 401(K) PLAN AND TRUST
|
2013
|
411249620
|
2014-01-27
|
DJB, INC.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3202513154
|
| Plan sponsor’s
address |
216 PARK AVENUE SOUTH, SUITE 101, ST. CLOUD, MN, 56301
|
Signature of
| Role |
Plan administrator |
| Date |
2014-01-27 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-01-27 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMA INSURANCE 401(K) PLAN AND TRUST
|
2012
|
411249620
|
2013-02-15
|
DJB, INC.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3202513154
|
| Plan sponsor’s
address |
216 PARK AVENUE SOUTH, SUITE 101, ST. CLOUD, MN, 56301
|
Signature of
| Role |
Plan administrator |
| Date |
2013-02-14 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-02-14 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMA INSURANCE 401(K) PLAN AND TRUST
|
2011
|
411249620
|
2012-06-12
|
DJB, INC.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3202513154
|
| Plan sponsor’s
address |
216 PARK AVENUE SOUTH, SUITE 101, ST. CLOUD, MN, 56301
|
Plan administrator’s name and address
| Administrator’s EIN |
411249620 |
| Plan administrator’s name |
DJB, INC. |
| Plan administrator’s
address |
216 PARK AVENUE SOUTH, SUITE 101, ST. CLOUD, MN, 56301 |
| Administrator’s telephone number |
3202513154 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-12 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-12 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SMA INSURANCE 401(K) PLAN AND TRUST
|
2010
|
411249620
|
2011-02-09
|
DJB, INC.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3202513154
|
| Plan sponsor’s
address |
216 PARK AVENUE SOUTH, SUITE 101, ST. CLOUD, MN, 56301
|
Plan administrator’s name and address
| Administrator’s EIN |
411249620 |
| Plan administrator’s name |
DJB, INC. |
| Plan administrator’s
address |
216 PARK AVENUE SOUTH, SUITE 101, ST. CLOUD, MN, 56301 |
| Administrator’s telephone number |
3202513154 |
Signature of
| Role |
Plan administrator |
| Date |
2011-02-09 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-02-09 |
| Name of individual signing |
SEAN KARSCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
