| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3202537550
|
| Plan sponsor’s mailing address |
3315 ROOSEVELT ROAD, STE 400, ST CLOUD, MN, 56301
|
| Plan sponsor’s
address |
3315 ROOSEVELT ROAD, STE 400, ST CLOUD, MN, 56301
|
Plan administrator’s name and address
| Administrator’s EIN |
411264509 |
| Plan administrator’s name |
HAMMER & ASSOCIATES |
| Plan administrator’s
address |
3315 ROOSEVELT ROAD, STE 400, ST CLOUD, MN, 56301 |
| Administrator’s telephone number |
3202537550 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-12 |
| Name of individual signing |
STEVEN HAMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
