|
ADMEDIAN LLC 401(K) PROFIT SHARING PLAN
|
2009
|
200375064
|
2010-10-15
|
ADMEDIAN LLC
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541800
|
| Sponsor’s telephone number |
9529530665
|
| Plan sponsor’s
address |
5920 148TH STREET W, SUITE 310, APPLE VALLEY, MN, 55124
|
Plan administrator’s name and address
| Administrator’s EIN |
200375064 |
| Plan administrator’s name |
ADMEDIAN LLC |
| Plan administrator’s
address |
5920 148TH STREET W, SUITE 310, APPLE VALLEY, MN, 55124 |
| Administrator’s telephone number |
9529530665 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2010-10-15 |
| Name of individual signing |
DANIEL NICHOLS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADMEDIAN LLC 401(K) PROFIT SHARING PLAN
|
2009
|
200375064
|
2010-10-15
|
ADMEDIAN LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541800
|
| Sponsor’s telephone number |
9529530665
|
| Plan sponsor’s
address |
5920 148TH STREET W, SUITE 310, APPLE VALLEY, MN, 55124
|
Plan administrator’s name and address
| Administrator’s EIN |
200375064 |
| Plan administrator’s name |
ADMEDIAN LLC |
| Plan administrator’s
address |
5920 148TH STREET W, SUITE 310, APPLE VALLEY, MN, 55124 |
| Administrator’s telephone number |
9529530665 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
DANIEL NICHOLS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-15 |
| Name of individual signing |
DANIEL NICHOLS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADMEDIAN LLC 401(K) PROFIT SHARING PLAN
|
2009
|
200375064
|
2010-10-15
|
ADMEDIAN LLC
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541800
|
| Sponsor’s telephone number |
9529530665
|
| Plan sponsor’s
address |
5920 148TH STREET W, SUITE 310, APPLE VALLEY, MN, 55124
|
Plan administrator’s name and address
| Administrator’s EIN |
200375064 |
| Plan administrator’s name |
ADMEDIAN LLC |
| Plan administrator’s
address |
5920 148TH STREET W, SUITE 310, APPLE VALLEY, MN, 55124 |
| Administrator’s telephone number |
9529530665 |
|
