PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2016
|
411584867
|
2017-06-28
|
PIZZA DA PIE OF BIG LAKE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2016
|
411584867
|
2017-12-11
|
PIZZA DA PIE OF BIG LAKE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Signature of
Role |
Plan administrator |
Date |
2017-12-11 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-12-11 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2015
|
411584867
|
2016-09-13
|
PIZZA DA PIE OF BIG LAKE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Signature of
Role |
Plan administrator |
Date |
2016-09-13 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-13 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2014
|
411584867
|
2015-06-30
|
PIZZA DA PIE OF BIG LAKE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Signature of
Role |
Plan administrator |
Date |
2015-06-30 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-30 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2013
|
411584867
|
2014-08-21
|
PIZZA DA PIE OF BIG LAKE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Signature of
Role |
Plan administrator |
Date |
2014-08-21 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-21 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2012
|
411584867
|
2013-05-03
|
PIZZA DA PIE OF BIG LAKE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Signature of
Role |
Plan administrator |
Date |
2013-05-03 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-03 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2011
|
411584867
|
2012-09-20
|
PIZZA DA PIE OF BIG LAKE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Plan administrator’s name and address
Administrator’s EIN |
411584867 |
Plan administrator’s name |
PIZZA DA PIE OF BIG LAKE, INC. |
Plan administrator’s
address |
10033 13TH AVENUE, BECKER, MN, 55308 |
Administrator’s telephone number |
7632637676 |
Signature of
Role |
Plan administrator |
Date |
2012-09-20 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-20 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2010
|
411584867
|
2011-07-06
|
PIZZA DA PIE OF BIG LAKE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Plan administrator’s name and address
Administrator’s EIN |
411584867 |
Plan administrator’s name |
PIZZA DA PIE OF BIG LAKE, INC. |
Plan administrator’s
address |
10033 13TH AVENUE, BECKER, MN, 55308 |
Administrator’s telephone number |
7632637676 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-06 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2009
|
411584867
|
2010-07-22
|
PIZZA DA PIE OF BIG LAKE, INC.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Plan administrator’s name and address
Administrator’s EIN |
411584867 |
Plan administrator’s name |
PIZZA DA PIE OF BIG LAKE, INC. |
Plan administrator’s
address |
10033 13TH AVENUE, BECKER, MN, 55308 |
Administrator’s telephone number |
7632637676 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-22 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PIZZA DA PIE OF BIG LAKE, INC. 401(K) PLAN
|
2009
|
411584867
|
2010-07-23
|
PIZZA DA PIE OF BIG LAKE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
7632637676
|
Plan sponsor’s
address |
10033 13TH AVENUE, BECKER, MN, 55308
|
Plan administrator’s name and address
Administrator’s EIN |
411584867 |
Plan administrator’s name |
PIZZA DA PIE OF BIG LAKE, INC. |
Plan administrator’s
address |
10033 13TH AVENUE, BECKER, MN, 55308 |
Administrator’s telephone number |
7632637676 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
DOUGLAS CANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|