UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2017
|
204808098
|
2018-05-18
|
UNDERGROUND PIERCING, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
6127998245
|
Plan sponsor’s
address |
11220 RED FOX DRIVE, MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2018-05-18 |
Name of individual signing |
CABOT THUNEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2016
|
204808098
|
2017-10-13
|
UNDERGROUND PIERCING, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
PO BOX 273, ALBERTVILLE, MN, 55301
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
DJ DUNKLAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2015
|
204808098
|
2016-06-17
|
UNDERGROUND PIERCING, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
13355 GEORGE WEBER DR, STE B, ROGERS, MN, 55374
|
Signature of
Role |
Plan administrator |
Date |
2016-06-17 |
Name of individual signing |
STACY FOUQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2014
|
204808098
|
2015-07-20
|
UNDERGROUND PIERCING, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
14320 JAMES RD, ROGERS, MN, 55374
|
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
STACY FOUQUETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2013
|
204808098
|
2014-07-24
|
UNDERGROUND PIERCING
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
14320 JAMES RD, ROGERS, MN, 55374
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-24 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2012
|
204808098
|
2013-05-29
|
UNDERGROUND PIERCING
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
14320 JAMES RD, ROGERS, MN, 55374
|
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2011
|
204808098
|
2012-07-13
|
UNDERGROUND PIERCING
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
14320 JAMES RD, ROGERS, MN, 55374
|
Plan administrator’s name and address
Administrator’s EIN |
204808098 |
Plan administrator’s name |
UNDERGROUND PIERCING |
Plan administrator’s
address |
14320 JAMES RD, ROGERS, MN, 55374 |
Administrator’s telephone number |
7634287930 |
Signature of
Role |
Plan administrator |
Date |
2012-07-13 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2010
|
204808098
|
2011-05-11
|
UNDERGROUND PIERCING
|
34
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
14320 JAMES RD, ROGERS, MN, 55374
|
Plan administrator’s name and address
Administrator’s EIN |
204808098 |
Plan administrator’s name |
UNDERGROUND PIERCING |
Plan administrator’s
address |
14320 JAMES RD, ROGERS, MN, 55374 |
Administrator’s telephone number |
7634287930 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-05-11 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2010
|
204808098
|
2011-05-11
|
UNDERGROUND PIERCING
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
14320 JAMES RD, ROGERS, MN, 55374
|
Plan administrator’s name and address
Administrator’s EIN |
204808098 |
Plan administrator’s name |
UNDERGROUND PIERCING |
Plan administrator’s
address |
14320 JAMES RD, ROGERS, MN, 55374 |
Administrator’s telephone number |
7634287930 |
Signature of
Role |
Plan administrator |
Date |
2011-05-11 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-11 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNDERGROUND PIERCING, INC. 401(K) PLAN
|
2009
|
204808098
|
2010-07-13
|
UNDERGROUND PIERCING
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-01-01
|
Business code |
237990
|
Sponsor’s telephone number |
7634287930
|
Plan sponsor’s
address |
14320 JAMES RD, ROGERS, MN, 55374
|
Plan administrator’s name and address
Administrator’s EIN |
204808098 |
Plan administrator’s name |
UNDERGROUND PIERCING |
Plan administrator’s
address |
14320 JAMES RD, ROGERS, MN, 55374 |
Administrator’s telephone number |
7634287930 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
JEANI MELGAARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|