|
PCCS MONEY PURCHASE PLAN
|
2011
|
411760099
|
2012-12-13
|
PCCS, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-12-01
|
| Business code |
541512
|
| Sponsor’s telephone number |
7637468468
|
| Plan sponsor’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428
|
Plan administrator’s name and address
| Administrator’s EIN |
411760099 |
| Plan administrator’s name |
PCCS, INC. |
| Plan administrator’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428 |
| Administrator’s telephone number |
7637468468 |
Signature of
| Role |
Plan administrator |
| Date |
2012-12-13 |
| Name of individual signing |
JEFFREY ANDERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-12-13 |
| Name of individual signing |
JEFFREY ANDERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PCCS MONEY PURCHASE PLAN
|
2011
|
411760099
|
2012-10-09
|
PCCS, INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-12-01
|
| Business code |
541512
|
| Sponsor’s telephone number |
7637468468
|
| Plan sponsor’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428
|
Plan administrator’s name and address
| Administrator’s EIN |
411760099 |
| Plan administrator’s name |
PCCS, INC. |
| Plan administrator’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428 |
| Administrator’s telephone number |
7637468468 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-09 |
| Name of individual signing |
JEFFREY ANDERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PCCS MONEY PURCHASE PLAN
|
2010
|
411760099
|
2011-08-15
|
PCCS, INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-12-01
|
| Business code |
541512
|
| Sponsor’s telephone number |
7637468468
|
| Plan sponsor’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428
|
Plan administrator’s name and address
| Administrator’s EIN |
411760099 |
| Plan administrator’s name |
PCCS, INC. |
| Plan administrator’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428 |
| Administrator’s telephone number |
7637468468 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-15 |
| Name of individual signing |
JEFFREY L. ANDERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-15 |
| Name of individual signing |
JEFFREY L. ANDERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PCCS MONEY PURCHASE PLAN
|
2009
|
411760099
|
2010-07-30
|
PCCS, INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1995-12-01
|
| Business code |
541512
|
| Sponsor’s telephone number |
7637468468
|
| Plan sponsor’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428
|
Plan administrator’s name and address
| Administrator’s EIN |
411760099 |
| Plan administrator’s name |
PCCS, INC. |
| Plan administrator’s
address |
9220 BASS LAKE ROAD, SUITE 310, NEW HOPE, MN, 55428 |
| Administrator’s telephone number |
7637468468 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
JEFFREY L. ANDERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
