JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2023
|
410887103
|
2024-10-12
|
JAX CAFE, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2024-10-12 |
Name of individual signing |
BILL KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2022
|
410887103
|
2023-05-24
|
JAX CAFE, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
BILL KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2021
|
410887103
|
2022-10-06
|
JAX CAFE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2022-10-06 |
Name of individual signing |
BILL KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2020
|
410887103
|
2021-10-05
|
JAX CAFE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2021-10-05 |
Name of individual signing |
BILL KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2019
|
410887103
|
2020-10-08
|
JAX CAFE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
BILL KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2018
|
410887103
|
2019-09-18
|
JAX CAFE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
BILL KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2017
|
410887103
|
2018-10-23
|
JAX CAFE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2018-10-23 |
Name of individual signing |
BILL KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2016
|
410887103
|
2017-10-10
|
JAX CAFE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
WILLIAM KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2015
|
410887103
|
2016-10-11
|
JAX CAFE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVENUE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
WILLIAM KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAX CAFE, INC. PROFIT SHARING & 401K PLAN
|
2013
|
410887103
|
2014-06-16
|
JAX CAFE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
6127897297
|
Plan sponsor’s
address |
1928 UNIVERSITY AVENUE NE, MINNEAPOLIS, MN, 55418
|
Signature of
Role |
Plan administrator |
Date |
2014-06-16 |
Name of individual signing |
WILLIAM J. KOZLAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|