HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2023
|
411674621
|
2024-05-06
|
HAL TIFFANY AGENCY, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2024-05-06 |
Name of individual signing |
ERIC TIFFANY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2022
|
411674621
|
2023-06-13
|
HAL TIFFANY AGENCY, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2023-06-13 |
Name of individual signing |
HAL TIFFANY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2021
|
411674621
|
2022-05-24
|
HAL TIFFANY AGENCY, INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2022-05-24 |
Name of individual signing |
HAL TIFFANY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2020
|
411674621
|
2021-06-10
|
HAL TIFFANY AGENCY, INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
HAL TIFFANY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2019
|
411674621
|
2020-05-29
|
HAL TIFFANY AGENCY, INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2020-05-29 |
Name of individual signing |
HAL TIFFANY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2018
|
411674621
|
2019-08-07
|
HAL TIFFANY AGENCY, INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2019-08-07 |
Name of individual signing |
HAL TIFFANY JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-07 |
Name of individual signing |
HAL TIFFANY, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2017
|
411674621
|
2018-10-09
|
HAL TIFFANY AGENCY, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
HAL TIFFANY JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
HAL TIFFANY JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2016
|
411674621
|
2017-08-02
|
HAL TIFFANY AGENCY, INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2017-08-02 |
Name of individual signing |
HAL TIFFANY JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-02 |
Name of individual signing |
HAL TIFFANY JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2015
|
411674621
|
2016-08-24
|
HAL TIFFANY AGENCY, INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2016-08-24 |
Name of individual signing |
HAL TIFFANY JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAL TIFFANY AGENCY INC. 401(K) PLAN
|
2014
|
411674621
|
2015-07-20
|
HAL TIFFANY AGENCY, INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514844002
|
Plan sponsor’s
address |
2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
HAL TIFFANY JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|