BLAKESTAD PHENOW, INC. 401(K) PLAN
|
2016
|
461449540
|
2017-03-27
|
CAPITAL RISK INSURANCE ADVISORS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-12
|
Business code |
524210
|
Sponsor’s telephone number |
6127670880
|
Plan sponsor’s
address |
901 N 3RD STREET, #114, MINNEAPOLIS, MN, 55401
|
Signature of
Role |
Plan administrator |
Date |
2017-03-27 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-27 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKESTAD PHENOW, INC. 401(K) PLAN
|
2016
|
461449540
|
2017-11-27
|
CAPITAL RISK INSURANCE ADVISORS, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-12
|
Business code |
524210
|
Sponsor’s telephone number |
6127670880
|
Plan sponsor’s
address |
901 N 3RD STREET, #114, MINNEAPOLIS, MN, 55401
|
Signature of
Role |
Plan administrator |
Date |
2017-11-22 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-22 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKESTAD PHENOW, INC. 401(K) PLAN
|
2015
|
461449540
|
2016-04-18
|
CAPITAL RISK INSURANCE ADVISORS, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-12
|
Business code |
524210
|
Sponsor’s telephone number |
6127670880
|
Plan sponsor’s
address |
901 N 3RD STREET, #114, MINNEAPOLIS, MN, 55401
|
Signature of
Role |
Plan administrator |
Date |
2016-04-18 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-18 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKESTAD PHENOW, INC. 401(K) PLAN
|
2014
|
461449540
|
2015-05-07
|
CAPITAL RISK INSURANCE ADVISORS, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-12
|
Business code |
524210
|
Sponsor’s telephone number |
6127670880
|
Plan sponsor’s
address |
901 N 3RD STREET, #114, MINNEAPOLIS, MN, 55401
|
Signature of
Role |
Plan administrator |
Date |
2015-05-07 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-07 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKESTAD PHENOW, INC. 401(K) PLAN
|
2013
|
461449540
|
2014-05-20
|
CAPITAL RISK INSURANCE ADVISORS, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-12
|
Business code |
524210
|
Sponsor’s telephone number |
7635747447
|
Plan sponsor’s
address |
6875 HIGHWAY 65 NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-20 |
Name of individual signing |
JEROD BLAKESTAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|