| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-17
|
| Business code |
442210
|
| Sponsor’s telephone number |
6129267693
|
| Plan
sponsor’s DBA name |
ARTISTIC FLOORS AND DESIGJN
|
| Plan sponsor’s mailing address |
5409 PENN AVE S, MINNEAPOLIS, MN, 55419
|
| Plan sponsor’s
address |
5409 PENN AVE S, MINNEAPOLIS, MN, 55419
|
Plan administrator’s name and address
| Administrator’s EIN |
204110758 |
| Plan administrator’s name |
STEBON INC. |
| Plan administrator’s
address |
5409 PENN AVE S, MINNEAPOLIS, MN, 55419 |
| Administrator’s telephone number |
6129267693 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
STEVEN ERKKILA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
