BRENK BROTHERS INC
|
2020
|
411643597
|
2021-02-09
|
BRENK BROTHERS INC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2018-01-01
|
Business code |
332700
|
Sponsor’s telephone number |
7633986163
|
Plan sponsor’s mailing address |
7490 CENTRAL AVE NE, MINNEAPOLIS, MN, 554323577
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, MINNEAPOLIS, MN, 554323577
|
Plan administrator’s name and address
Administrator’s EIN |
411490988 |
Plan administrator’s name |
MEDICA INSURANCE COMPANY |
Plan administrator’s
address |
401 CARLSON PKWY, HOPKINS, MN, 553055359 |
Number of participants as of the end of the plan year
Active participants |
110 |
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 |
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 |
2021-02-09 |
Name of individual signing |
SHANNON ROBINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS INC
|
2019
|
411643597
|
2021-02-09
|
BRENK BROTHERS INC
|
110
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2019-01-01
|
Business code |
332700
|
Sponsor’s telephone number |
7633986163
|
Plan sponsor’s mailing address |
7490 CENTRAL AVE NE, MINNEAPOLIS, MN, 554323577
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, MINNEAPOLIS, MN, 554323577
|
Plan administrator’s name and address
Administrator’s EIN |
411490988 |
Plan administrator’s name |
MEDICA INSURANCE COMPANY |
Plan administrator’s
address |
401 CARLSON PKWY, HOPKINS, MN, 553055359 |
Administrator’s telephone number |
6129866222 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-02-09 |
Name of individual signing |
SHANNON ROBINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS INC
|
2019
|
411643597
|
2021-02-10
|
BRENK BROTHERS INC
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2019-01-01
|
Business code |
332700
|
Sponsor’s telephone number |
7633986163
|
Plan sponsor’s mailing address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 554323577
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 554323577
|
Plan administrator’s name and address
Administrator’s EIN |
410952670 |
Plan administrator’s name |
DELTA DENTAL |
Plan administrator’s
address |
500 WASHINGTON AVE S STE 2060, MINNEAPOLIS, MN, 554151163 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-02-10 |
Name of individual signing |
SHANNON ROBINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS INC
|
2019
|
411643597
|
2021-02-10
|
BRENK BROTHERS INC
|
121
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2019-01-01
|
Business code |
332700
|
Sponsor’s telephone number |
7633986163
|
Plan sponsor’s mailing address |
7490 CENTRAL AVE NE, MINNEAPOLIS, MN, 554323577
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, MINNEAPOLIS, MN, 554323577
|
Plan administrator’s name and address
Administrator’s EIN |
420127290 |
Plan administrator’s name |
PRINCIPAL LIFE INSURANCE COMPANY |
Plan administrator’s
address |
711 HIGH STREET, DES MOINES, IA, 503920001 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-02-10 |
Name of individual signing |
SHANNON ROBINSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS INC.
|
2017
|
411643597
|
2018-03-27
|
BRENK BROTHERS INC,
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2016-09-01
|
Business code |
332700
|
Sponsor’s telephone number |
7637845621
|
Plan sponsor’s mailing address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 554323577
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 554323577
|
Plan administrator’s name and address
Administrator’s EIN |
420127290 |
Plan administrator’s name |
PRINCIPAL LIFE INSURANCE COMPANY |
Plan administrator’s
address |
711 HIGH STREET, DES MOINES, IA, 503920001 |
Administrator’s telephone number |
8009863343 |
Number of participants as of the end of the plan year
Active participants |
101 |
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 |
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 |
2018-03-27 |
Name of individual signing |
MIKE DORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS, INC. 401(K) RETIREMENT PLAN
|
2015
|
411643597
|
2016-08-08
|
BRENK BROTHERS, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7633986133
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2016-08-08 |
Name of individual signing |
MICHAEL J DORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-08 |
Name of individual signing |
JEFFREY G BRENK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS, INC. 401(K) RETIREMENT PLAN
|
2014
|
411643597
|
2015-10-13
|
BRENK BROTHERS, INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7633986133
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
MIKE DORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS, INC. 401(K) RETIREMENT PLAN
|
2013
|
411643597
|
2014-10-08
|
BRENK BROTHERS, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7637845621
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
MIKE DORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-08 |
Name of individual signing |
MIKE DORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS, INC. 401(K) RETIREMENT PLAN
|
2012
|
411643597
|
2013-09-25
|
BRENK BROTHERS, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7637845621
|
Plan sponsor’s
address |
7490 CENTRAL AVE NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2013-08-26 |
Name of individual signing |
MICHAEL DORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRENK BROTHERS, INC. 401K RETIREMENT PLAN
|
2011
|
411643597
|
2012-06-14
|
BRENK BROTHERS, INC.
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
7637845621
|
Plan sponsor’s
address |
7490 CENTRAL AVENUE N.E., FRIDLEY, MN, 55432
|
Plan administrator’s name and address
Administrator’s EIN |
411643597 |
Plan administrator’s name |
BRENK BROTHERS, INC. |
Plan administrator’s
address |
7490 CENTRAL AVENUE N.E., FRIDLEY, MN, 55432 |
Administrator’s telephone number |
7637845621 |
Signature of
Role |
Plan administrator |
Date |
2012-06-14 |
Name of individual signing |
JEFFREY G. BRENK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-14 |
Name of individual signing |
JEFFREY G. BRENK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|