|
CARLSON ADVISORS, LLC 401(K) PLAN
|
2011
|
411504933
|
2012-10-01
|
CARLSON ADVISORS, LLC
|
64
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-01-01
|
| Business code |
541211
|
| Sponsor’s telephone number |
7635358150
|
| Plan sponsor’s
address |
7101 NORTHLAND CIRCLE SUITE 123, MINNEAPOLIS, MN, 55428
|
Plan administrator’s name and address
| Administrator’s EIN |
411504933 |
| Plan administrator’s name |
CARLSON ADVISORS, LLC |
| Plan administrator’s
address |
7101 NORTHLAND CIRCLE SUITE 123, MINNEAPOLIS, MN, 55428 |
| Administrator’s telephone number |
7635358150 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-01 |
| Name of individual signing |
DAWN POLFLIET |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-01 |
| Name of individual signing |
MEL ENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLSON ADVISORS, LLC 401(K) PLAN
|
2010
|
411504933
|
2011-10-12
|
CARLSON ADVISORS, LLC
|
68
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-01-01
|
| Business code |
541211
|
| Sponsor’s telephone number |
7635358150
|
| Plan sponsor’s
address |
7101 NORTHLAND CIRCLE SUITE 123, MINNEAPOLIS, MN, 55428
|
Plan administrator’s name and address
| Administrator’s EIN |
411504933 |
| Plan administrator’s name |
CARLSON ADVISORS, LLC |
| Plan administrator’s
address |
7101 NORTHLAND CIRCLE SUITE 123, MINNEAPOLIS, MN, 55428 |
| Administrator’s telephone number |
7635358150 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
DAWN POLFLIET |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-12 |
| Name of individual signing |
MEL ENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLSON ADVISORS, LLC 401(K) PLAN
|
2010
|
411504933
|
2011-10-12
|
CARLSON ADVISORS, LLC
|
68
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-01-01
|
| Business code |
541211
|
| Sponsor’s telephone number |
7635358150
|
| Plan sponsor’s
address |
7101 NORTHLAND CIRCLE SUITE 123, MINNEAPOLIS, MN, 55428
|
Plan administrator’s name and address
| Administrator’s EIN |
411504933 |
| Plan administrator’s name |
CARLSON ADVISORS, LLC |
| Plan administrator’s
address |
7101 NORTHLAND CIRCLE SUITE 123, MINNEAPOLIS, MN, 55428 |
| Administrator’s telephone number |
7635358150 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
DAWN POLFLIET |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-12 |
| Name of individual signing |
MEL ENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
