HIAWATHA HOMES, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
411278404
|
2024-10-01
|
HIAWATHA HOMES, INC.
|
226
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE, NW, ROCHESTER, MN, 55901
|
|
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN
|
2020
|
411278404
|
2021-08-02
|
HIAWATHA HOMES, INC.
|
258
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1976-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s mailing address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
Active participants |
258 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-08-02 |
Name of individual signing |
CINDY S. OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN
|
2019
|
411278404
|
2020-07-14
|
HIAWATHA HOMES, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1976-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s mailing address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-14 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN
|
2019
|
411278404
|
2020-07-14
|
HIAWATHA HOMES, INC.
|
4
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s
address |
1820 VALKYRIE DR NW, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-14 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN
|
2018
|
411278404
|
2019-06-28
|
HIAWATHA HOMES, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1976-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s mailing address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-28 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-28 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN
|
2018
|
411278404
|
2019-06-28
|
HIAWATHA HOMES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s
address |
1820 VALKYRIE DR NW, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2019-06-28 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-28 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN
|
2017
|
411278404
|
2018-07-06
|
HIAWATHA HOMES, INC.
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1976-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s mailing address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-06 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN
|
2017
|
411278404
|
2018-07-06
|
HIAWATHA HOMES, INC.
|
216
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s mailing address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-06 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN
|
2016
|
411278404
|
2017-07-18
|
HIAWATHA HOMES, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1976-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s mailing address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN
|
2016
|
411278404
|
2017-07-18
|
HIAWATHA HOMES, INC.
|
239
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072897222
|
Plan sponsor’s mailing address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Plan sponsor’s
address |
1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
CINDY OSTROWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|