|
MIXON, INC DEFINED BENEFIT PLAN
|
2011
|
410832422
|
2013-04-15
|
MIXON, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
335900
|
| Sponsor’s telephone number |
6126462707
|
| Plan sponsor’s
address |
1991 RYAN AVE WEST, ROSEVILLE, MN, 551135411
|
Plan administrator’s name and address
| Administrator’s EIN |
410832422 |
| Plan administrator’s name |
MIXON, INC. |
| Plan administrator’s
address |
1991 RYAN AVE WEST, ROSEVILLE, MN, 551135411 |
| Administrator’s telephone number |
6126462707 |
Signature of
| Role |
Plan administrator |
| Date |
2013-04-15 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-04-15 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIXON, INC DEFINED BENEFIT PLAN
|
2010
|
410832422
|
2012-01-30
|
MIXON, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
335900
|
| Sponsor’s telephone number |
6126462707
|
| Plan sponsor’s
address |
1991 RYAN AVE WEST, ROSEVILLE, MN, 551135411
|
Plan administrator’s name and address
| Administrator’s EIN |
410832422 |
| Plan administrator’s name |
MIXON, INC. |
| Plan administrator’s
address |
1991 RYAN AVE WEST, ROSEVILLE, MN, 551135411 |
| Administrator’s telephone number |
6126462707 |
Signature of
| Role |
Plan administrator |
| Date |
2012-01-30 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-01-30 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIXON, INC DEFINED BENEFIT PLAN
|
2010
|
410832422
|
2012-01-26
|
MIXON, INC.
|
5
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
335900
|
| Sponsor’s telephone number |
6126462707
|
| Plan sponsor’s
address |
1991 RYAN AVE WEST, ROSEVILLE, MN, 551135411
|
Plan administrator’s name and address
| Administrator’s EIN |
410832422 |
| Plan administrator’s name |
MIXON, INC. |
| Plan administrator’s
address |
1991 RYAN AVE WEST, ROSEVILLE, MN, 551135411 |
| Administrator’s telephone number |
6126462707 |
Signature of
| Role |
Plan administrator |
| Date |
2012-01-26 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-01-26 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
MIXON, INC DEFINED BENEFIT PLAN
|
2009
|
410832422
|
2011-04-15
|
MIXON, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
335900
|
| Sponsor’s telephone number |
6516367503
|
| Plan sponsor’s
address |
1991 RYAN AVE WEST, SAINT PAUL, MN, 55113
|
Plan administrator’s name and address
| Administrator’s EIN |
410832422 |
| Plan administrator’s name |
MIXON, INC. |
| Plan administrator’s
address |
1991 RYAN AVE WEST, SAINT PAUL, MN, 55113 |
| Administrator’s telephone number |
6516367503 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-15 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-04-15 |
| Name of individual signing |
GORDON MIXON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
