403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2020
|
410693851
|
2021-07-21
|
MERRICK COMMUNITY SERVICES
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
1669 ARCADE ST STE 4, SAINT PAUL, MN, 551061000
|
Signature of
Role |
Plan administrator |
Date |
2021-07-21 |
Name of individual signing |
SMITH MEUANGSAKSITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2019
|
410693851
|
2020-03-09
|
MERRICK COMMUNITY SERVICES
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
1669 ARCADE ST STE 4, SAINT PAUL, MN, 551061000
|
Signature of
Role |
Plan administrator |
Date |
2020-03-09 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2018
|
410693851
|
2019-04-11
|
MERRICK COMMUNITY SERVICES
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
1669 ARCADE ST STE 4, SAINT PAUL, MN, 551061000
|
Signature of
Role |
Plan administrator |
Date |
2019-04-11 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403 B THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2017
|
410693851
|
2018-04-26
|
MERRICK COMMUNITY SERVICES
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
965 PAYNE AVE STE 300, SAINT PAUL, MN, 551304266
|
Signature of
Role |
Plan administrator |
Date |
2018-04-26 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-26 |
Name of individual signing |
JAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2016
|
410693851
|
2017-04-12
|
MERRICK COMMUNITY SERVICES
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
965 PAYNE AVE STE 300, SAINT PAUL, MN, 55130
|
Signature of
Role |
Plan administrator |
Date |
2017-04-12 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-12 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2015
|
410693851
|
2016-05-02
|
MERRICK COMMUNITY SERVICES
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
965 PAYNE AVE STE 300, SAINT PAUL, MN, 55130
|
Signature of
Role |
Plan administrator |
Date |
2016-05-02 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-02 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2014
|
410693851
|
2015-07-01
|
MERRICK COMMUNITY SERVICES
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
965 PAYNE AVE STE 300, SAINT PAUL, MN, 55130
|
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-01 |
Name of individual signing |
JAMES DIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2013
|
410693851
|
2014-07-28
|
MERRICK COMMUNITY SERVICES
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
965 PAYNE AVE STE 300, SAINT PAUL, MN, 55130
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
DANIEL A. RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
DANIEL A. RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2012
|
410693851
|
2013-07-19
|
MERRICK COMMUNITY SERVICES
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6517718821
|
Plan sponsor’s
address |
715 EDGERTON STRETT, SAINT PAUL, MN, 55130
|
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
DANIEL RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-19 |
Name of individual signing |
DANIEL RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF MERRICK COMMUNITY SERVICES
|
2011
|
410693851
|
2012-06-28
|
MERRICK COMMUNITY SERVICES
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6517719339
|
Plan sponsor’s
address |
715 EDGERTON STREET, SAINT PAUL, MN, 55130
|
Plan administrator’s name and address
Administrator’s EIN |
410693851 |
Plan administrator’s name |
MERRICK COMMUNITY SERVICES |
Plan administrator’s
address |
1526 6TH ST E, SAINT PAUL, MN, 55106 |
Administrator’s telephone number |
6517718821 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
DANIEL RODRIGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|