|
GRASSROOTS SOLUTIONS 401(K) PLAN
|
2012
|
391962008
|
2013-05-28
|
GRASSROOTS SOLUTIONS
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
6124658566
|
| Plan sponsor’s mailing address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414
|
| Plan sponsor’s
address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414
|
Plan administrator’s name and address
| Administrator’s EIN |
391962008 |
| Plan administrator’s name |
GRASSROOTS SOLUTIONS |
| Plan administrator’s
address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414 |
| Administrator’s telephone number |
6124658566 |
Number of participants as of the end of the plan year
| Active participants |
30 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
31 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-28 |
| Name of individual signing |
ELIZABETH OLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GRASSROOTS SOLUTIONS 401(K) PLAN
|
2011
|
391962008
|
2012-07-13
|
GRASSROOTS SOLUTIONS
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
6124658566
|
| Plan sponsor’s mailing address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414
|
| Plan sponsor’s
address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414
|
Plan administrator’s name and address
| Administrator’s EIN |
391962008 |
| Plan administrator’s name |
GRASSROOTS SOLUTIONS |
| Plan administrator’s
address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414 |
| Administrator’s telephone number |
6124658566 |
Number of participants as of the end of the plan year
| Active participants |
21 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
22 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-13 |
| Name of individual signing |
ELIZABETH OLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GRASSROOTS SOLUTIONS 401(K) PLAN
|
2010
|
391962008
|
2011-05-20
|
GRASSROOTS SOLUTIONS
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
6124658566
|
| Plan sponsor’s mailing address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414
|
| Plan sponsor’s
address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414
|
Plan administrator’s name and address
| Administrator’s EIN |
391962008 |
| Plan administrator’s name |
GRASSROOTS SOLUTIONS |
| Plan administrator’s
address |
2828 UNIVERSITY AVENUE SE, SUITE 150, MINNEAPOLIS, MN, 55414 |
| Administrator’s telephone number |
6124658566 |
Number of participants as of the end of the plan year
| Active participants |
20 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
21 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-20 |
| Name of individual signing |
ELIZABETH OLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GRASSROOTS SOLUTIONS 401(K) PLAN
|
2009
|
391962008
|
2010-10-06
|
GRASSROOTS SOLUTIONS
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
6124658566
|
| Plan sponsor’s mailing address |
2929 UNIVERSITY AVENUE SE, SUITE 100, MINNEAPOLIS, MN, 55414
|
| Plan sponsor’s
address |
2929 UNIVERSITY AVENUE SE, SUITE 100, MINNEAPOLIS, MN, 55414
|
Plan administrator’s name and address
| Administrator’s EIN |
391962008 |
| Plan administrator’s name |
GRASSROOTS SOLUTIONS |
| Plan administrator’s
address |
2929 UNIVERSITY AVENUE SE, SUITE 100, MINNEAPOLIS, MN, 55414 |
| Administrator’s telephone number |
6124658566 |
Number of participants as of the end of the plan year
| Active participants |
16 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
2 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
18 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
ELIZABETH OLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
