PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2023
|
410992396
|
2024-06-13
|
PINE BEND PAVING, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
16500 FISCHER AVENUE, HASTINGS, MN, 55033
|
Signature of
Role |
Plan administrator |
Date |
2024-06-13 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2022
|
410992396
|
2023-08-31
|
PINE BEND PAVING, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
16500 FISCHER AVENUE, HASTINGS, MN, 55033
|
Signature of
Role |
Plan administrator |
Date |
2023-08-31 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2022
|
410992396
|
2023-09-29
|
PINE BEND PAVING, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
16500 FISCHER AVENUE, HASTINGS, MN, 55033
|
Signature of
Role |
Plan administrator |
Date |
2023-09-29 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2021
|
410992396
|
2022-09-26
|
PINE BEND PAVING, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
16500 FISCHER AVENUE, HASTINGS, MN, 55033
|
Signature of
Role |
Plan administrator |
Date |
2022-09-26 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2020
|
410992396
|
2021-09-18
|
PINE BEND PAVING, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
PO BOX 72, VERMILLION, MN, 55085
|
Signature of
Role |
Plan administrator |
Date |
2021-09-18 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2019
|
410992396
|
2020-10-13
|
PINE BEND PAVING, INC.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
PO BOX 72, VERMILLION, MN, 55085
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2019
|
410992396
|
2020-12-07
|
PINE BEND PAVING, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
PO BOX 72, VERMILLION, MN, 55085
|
Signature of
Role |
Plan administrator |
Date |
2020-12-07 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2018
|
410992396
|
2019-10-14
|
PINE BEND PAVING, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
PO BOX 72, VERMILLION, MN, 55085
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2018
|
410992396
|
2020-11-18
|
PINE BEND PAVING, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
PO BOX 72, VERMILLION, MN, 55085
|
Signature of
Role |
Plan administrator |
Date |
2020-11-18 |
Name of individual signing |
JOEL JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE BEND PAVING, INC. PROFIT SHARING PLAN
|
2017
|
410992396
|
2018-10-04
|
PINE BEND PAVING, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
6514372333
|
Plan sponsor’s
address |
PO BOX 72, VERMILLION, MN, 55085
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
JOEL A JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-04 |
Name of individual signing |
JOEL A JACOBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|