|
CHOICE INSURANCE AGENCY INC 401(K) PLAN
|
2023
|
205312274
|
2024-10-04
|
CHOICE INSURANCE AGENCY INC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-09-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6127018362
|
| Plan sponsor’s
address |
801 TWELVE OAKS CENTER DR. # 809, WAYZATA, MN, 55391
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-04 |
| Name of individual signing |
TIM LEONARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHOICE INSURANCE AGENCY INC 401(K) PLAN
|
2022
|
205312274
|
2023-09-30
|
CHOICE INSURANCE AGENCY INC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-09-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6127018362
|
| Plan sponsor’s
address |
801 TWELVE OAKS CENTER DR #809, WAYZATA, MN, 55391
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-30 |
| Name of individual signing |
TIM LEONARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHOICE INSURANCE AGENCY INC 401(K) PLAN
|
2021
|
205312274
|
2022-06-08
|
CHOICE INSURANCE AGENCY INC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-09-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524170088
|
| Plan sponsor’s
address |
13911 RIDGEDALE DR STE 310, MINNETONKA, MN, 55305
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-08 |
| Name of individual signing |
ASHLEY ZELINSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHOICE INSURANCE AGENCY INC 401(K) PLAN
|
2020
|
205312274
|
2021-06-29
|
CHOICE INSURANCE AGENCY INC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-09-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524170088
|
| Plan sponsor’s
address |
13911 RIDGEDALE DR STE 310, MINNETONKA, MN, 55305
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-29 |
| Name of individual signing |
ASHLEY HOSTERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHOICE INSURANCE AGENCY INC 401(K) PLAN
|
2019
|
205312274
|
2020-06-30
|
CHOICE INSURANCE AGENCY INC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-09-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524170088
|
| Plan sponsor’s
address |
13911 RIDGEDALE DR STE 310, MINNETONKA, MN, 55305
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-30 |
| Name of individual signing |
ASHLEY HOSTERMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHOICE INSURANCE AGENCY INC 401(K) PLAN
|
2019
|
205312274
|
2020-06-22
|
CHOICE INSURANCE AGENCY INC
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-09-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9524170088
|
| Plan sponsor’s
address |
13911 RIDGEDALE DR STE 310, MINNETONKA, MN, 55305
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-22 |
| Name of individual signing |
AHOSTERMAN7568 |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
