|
JAY BROS., INC. 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
411278966
|
2010-12-01
|
JAY BROS., INC.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-06-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
6514646400
|
| Plan sponsor’s
address |
PO BOX 700, FOREST LAKE, MN, 550250700
|
Plan administrator’s name and address
| Administrator’s EIN |
411278966 |
| Plan administrator’s name |
JAY BROS., INC. |
| Plan administrator’s
address |
PO BOX 700, FOREST LAKE, MN, 550250700 |
| Administrator’s telephone number |
6514646400 |
Signature of
| Role |
Plan administrator |
| Date |
2010-12-01 |
| Name of individual signing |
MICHAEL JAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAY BROS., INC. 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
411278966
|
2010-10-06
|
JAY BROS., INC.
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-06-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
6514646400
|
| Plan sponsor’s
address |
PO BOX 700, FOREST LAKE, MN, 550250700
|
Plan administrator’s name and address
| Administrator’s EIN |
411278966 |
| Plan administrator’s name |
JAY BROS., INC. |
| Plan administrator’s
address |
PO BOX 700, FOREST LAKE, MN, 550250700 |
| Administrator’s telephone number |
6514646400 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
MICHAEL JAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
