TIERNEY BROTHERS, INC. COMPREHENSIVE HEALTH AND WELFARE BENEFITS PLAN
|
2021
|
411355993
|
2024-02-14
|
TIERNEY BROTHERS, INC.
|
218
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2019-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
6124553622
|
Plan sponsor’s mailing address |
1771 ENERGY PARK DR STE 100, SAINT PAUL, MN, 551082720
|
Plan sponsor’s
address |
1771 ENERGY PARK DR STE 100, SAINT PAUL, MN, 551082720
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-02-12 |
Name of individual signing |
KATIE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIERNEY BROTHERS, INC. COMPREHENSIVE HEALTH AND WELFARE BENEFITS PLAN
|
2021
|
411355993
|
2022-05-06
|
TIERNEY BROTHERS, INC.
|
218
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2019-01-01
|
Business code |
454390
|
Sponsor’s telephone number |
6124553622
|
Plan sponsor’s mailing address |
1771 ENERGY PARK DR STE 100, SAINT PAUL, MN, 551082720
|
Plan sponsor’s
address |
1771 ENERGY PARK DR STE 100, SAINT PAUL, MN, 551082720
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
KATIE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIERNEY BROTHERS, INC. PROFIT SHARING PLAN AND 401(K) PLAN
|
2014
|
411355993
|
2015-07-23
|
TIERNEY BROTHERS, INC.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-04-01
|
Business code |
454390
|
Sponsor’s telephone number |
6123315500
|
Plan sponsor’s
address |
3300 UNIVERSITY AVE. SE, MINNEAPOLIS, MN, 55414
|
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
LISA OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIERNEY BROTHERS, INC. PROFIT SHARING PLAN AND 401(K) PLAN
|
2013
|
411355993
|
2014-06-30
|
TIERNEY BROTHERS, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-04-01
|
Business code |
454390
|
Sponsor’s telephone number |
6123315500
|
Plan sponsor’s
address |
3300 UNIVERSITY AVE. SE, MINNEAPOLIS, MN, 55414
|
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
LISA OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-30 |
Name of individual signing |
LISA OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIERNEY BROTHERS, INC. PROFIT SHARING PLAN AND 401(K) PLAN
|
2012
|
411355993
|
2013-07-18
|
TIERNEY BROTHERS, INC.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-04-01
|
Business code |
454390
|
Sponsor’s telephone number |
6123315500
|
Plan sponsor’s
address |
3300 UNIVERSITY AVE. SE, MINNEAPOLIS, MN, 55414
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
LISA OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-18 |
Name of individual signing |
LISA OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIERNEY BROTHERS, INC. PROFIT SHARING PLAN AND 401(K) PLAN
|
2011
|
411355993
|
2012-07-05
|
TIERNEY BROTHERS, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-04-01
|
Business code |
454390
|
Sponsor’s telephone number |
6123315500
|
Plan sponsor’s
address |
3300 UNIVERSITY AVE. SE, MINNEAPOLIS, MN, 55414
|
Plan administrator’s name and address
Administrator’s EIN |
411355993 |
Plan administrator’s name |
TIERNEY BROTHERS, INC. |
Plan administrator’s
address |
3300 UNIVERSITY AVE. SE, MINNEAPOLIS, MN, 55414 |
Administrator’s telephone number |
6123315500 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
LISA OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|