PACAL RETIREMENT SAVINGS PLAN
|
2015
|
331027676
|
2016-06-28
|
PACAL, LLC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s
address |
2500 COUNTY RD B W STE 100, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2016-06-28 |
Name of individual signing |
MARY PIETRI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL RETIREMENT SAVINGS PLAN
|
2014
|
331027676
|
2015-07-16
|
PACAL, LLC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s
address |
2500 COUNTY RD B W STE 100, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2015-07-16 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-16 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL RETIREMENT SAVINGS PLAN
|
2013
|
331027676
|
2014-07-03
|
PACAL, LLC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s
address |
2500 COUNTY RD B W STE 100, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-03 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL RETIREMENT SAVINGS PLAN
|
2012
|
331027676
|
2013-07-15
|
PACAL, LLC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s
address |
2500 COUNTY RD B W STE 100, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL LLC LIFE AND DISABILITY INSURANCE PLAN
|
2011
|
331027676
|
2012-11-16
|
PACAL, LLC
|
237
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1972-11-01
|
Business code |
331200
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s mailing address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan sponsor’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
331027676 |
Plan administrator’s name |
PACAL, LLC |
Plan administrator’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516286321 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-11-15 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL LLC MEDICAL AND DENTAL PLAN
|
2011
|
331027676
|
2012-11-16
|
PACAL LLC
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1968-08-01
|
Business code |
331200
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s mailing address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan sponsor’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
331027676 |
Plan administrator’s name |
PACAL LLC |
Plan administrator’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516286321 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-11-15 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL RETIREMENT SAVINGS PLAN
|
2011
|
331027676
|
2012-07-27
|
PACAL, LLC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s
address |
2500 COUNTY RD B W STE 100, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
331027676 |
Plan administrator’s name |
PACAL, LLC. |
Plan administrator’s
address |
2500 COUNTY RD B W STE 100, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516286321 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL LLC LIFE AND DISABILITY INSURANCE PLAN
|
2010
|
331027676
|
2011-10-28
|
PACAL, LLC
|
228
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1972-11-01
|
Business code |
331200
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s mailing address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan sponsor’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
331027676 |
Plan administrator’s name |
PACAL, LLC |
Plan administrator’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516286321 |
Number of participants as of the end of the plan year
Active participants |
237 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-28 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL LLC MEDICAL AND DENTAL PLAN
|
2010
|
331027676
|
2011-10-28
|
PACAL LLC
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1968-08-01
|
Business code |
331200
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s mailing address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan sponsor’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
331027676 |
Plan administrator’s name |
PACAL LLC |
Plan administrator’s
address |
2500 WEST COUNTY ROAD B, SUITE 100, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516286321 |
Number of participants as of the end of the plan year
Active participants |
87 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-28 |
Name of individual signing |
JEAN WARNSHOLZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PACAL RETIREMENT SAVINGS PLAN
|
2010
|
331027676
|
2011-06-24
|
PACAL, LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-01-01
|
Business code |
333100
|
Sponsor’s telephone number |
6516286321
|
Plan sponsor’s
address |
2500 WEST COUNTY ROAD B, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
331027676 |
Plan administrator’s name |
PACAL, LLC |
Plan administrator’s
address |
2500 WEST COUNTY ROAD B, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6516286321 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
ERVIN KAMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|