GROVER COMPANY 401(K) PLAN AND TRUST
|
2023
|
453672665
|
2024-07-26
|
GROVER COMPANY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
12 |
Number of
participants
with
account balances as of the end of the plan year |
12 |
Signature of
Role |
Plan administrator |
Date |
2024-07-26 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-26 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2023
|
453672665
|
2024-08-02
|
GROVER COMPANY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-08-01 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-08-01 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2022
|
453672665
|
2024-08-02
|
GROVER COMPANY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
12 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
12 |
Signature of
Role |
Plan administrator |
Date |
2024-08-01 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-08-01 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2021
|
453672665
|
2022-07-21
|
GROVER COMPANY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
12 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
12 |
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-21 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2020
|
453672665
|
2021-08-03
|
GROVER COMPANY
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
12 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
12 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-08-03 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-03 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2019
|
453672665
|
2020-07-07
|
GROVER COMPANY
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
10 |
Retired or separated participants receiving
benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
10 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-07 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-07 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2018
|
453672665
|
2019-07-25
|
GROVER COMPANY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
10 |
Number of
participants
with
account balances as of the end of the plan year |
10 |
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-25 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2017
|
453672665
|
2018-07-25
|
GROVER COMPANY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILL
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
9 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-25 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROVER COMPANY 401(K) PLAN AND TRUST
|
2016
|
453672665
|
2017-07-21
|
GROVER COMPANY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-02-09
|
Business code |
722511
|
Sponsor’s telephone number |
7633676790
|
Plan
sponsor’s DBA name |
BOONDOX BAR & GRILLE
|
Plan sponsor’s mailing address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Plan sponsor’s
address |
9100 PARK AVE NE, ELK RIVER, MN, 553307261
|
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
4 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-21 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-21 |
Name of individual signing |
DION GROVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|