DR. MATTHEW BERVEN 401(K) PLAN
|
2014
|
721573994
|
2015-12-29
|
DR. MATTHEW BERVEN, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6123780548
|
Plan sponsor’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2015-12-29 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-12-29 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. MATTHEW BERVEN 401(K) PLAN
|
2014
|
721573994
|
2015-08-06
|
DR. MATTHEW BERVEN, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6123780548
|
Plan sponsor’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2015-08-06 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-06 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. MATTHEW BERVEN 401(K) PLAN
|
2013
|
721573994
|
2014-10-07
|
DR. MATTHEW BERVEN, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6123780548
|
Plan sponsor’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-07 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. MATTHEW BERVEN 401(K) PLAN
|
2012
|
721573994
|
2013-10-14
|
DR. MATTHEW BERVEN, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6123780548
|
Plan sponsor’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. MATTHEW BERVEN 401(K) PLAN
|
2011
|
721573994
|
2012-10-11
|
DR. MATTHEW BERVEN, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6123780548
|
Plan sponsor’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
|
Plan administrator’s name and address
Administrator’s EIN |
721573994 |
Plan administrator’s name |
DR. MATTHEW BERVEN, INC. |
Plan administrator’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076 |
Administrator’s telephone number |
6123780548 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
MATTHEW E. BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
MATTHEW E. BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. MATTHEW BERVEN 401(K) PLAN
|
2010
|
721573994
|
2011-10-12
|
DR. MATTHEW BERVEN, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6123780548
|
Plan sponsor’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
|
Plan administrator’s name and address
Administrator’s EIN |
721573994 |
Plan administrator’s name |
DR. MATTHEW BERVEN, INC. |
Plan administrator’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076 |
Administrator’s telephone number |
6123780548 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
MATTHEW BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. MATTHEW BERVEN 401(K) PLAN
|
2009
|
721573994
|
2010-10-15
|
DR. MATTHEW BERVEN, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
6123780548
|
Plan sponsor’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
|
Plan administrator’s name and address
Administrator’s EIN |
721573994 |
Plan administrator’s name |
DR. MATTHEW BERVEN, INC. |
Plan administrator’s
address |
5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076 |
Administrator’s telephone number |
6123780548 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
MATTHEW E. BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
MATTHEW E. BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|