BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2023
|
273607836
|
2024-07-16
|
BLAZEK CONTRACTING CORP.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
492210
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
JENNIFER OWEN, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2022
|
273607836
|
2023-08-02
|
BLAZEK CONTRACTING CORP.
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
492210
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2023-08-01 |
Name of individual signing |
JENNIFER OWEN, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2021
|
273607836
|
2022-07-06
|
BLAZEK CONTRACTING CORP.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
492210
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2022-07-06 |
Name of individual signing |
KEN BLAZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-06 |
Name of individual signing |
JENNIFER OWEN, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2020
|
273607836
|
2021-07-27
|
BLAZEK CONTRACTING CORP.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
492210
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
KEN BLAZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-30 |
Name of individual signing |
JENNIFER OWEN, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2019
|
273607836
|
2020-04-30
|
BLAZEK CONTRACTING CORP.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
492210
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2020-04-30 |
Name of individual signing |
KEN BLAZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-30 |
Name of individual signing |
JENNIFER L. CRUST, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2018
|
273607836
|
2019-04-19
|
BLAZEK CONTRACTING CORP.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
492210
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2019-04-19 |
Name of individual signing |
KEN BLAZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-19 |
Name of individual signing |
JENNIFER L. CRUST, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2017
|
273607836
|
2018-07-12
|
BLAZEK CONTRACTING CORP.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
238100
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2018-04-30 |
Name of individual signing |
KEN BLAZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-12 |
Name of individual signing |
JENNIFER L. CRUST, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2016
|
273607836
|
2017-07-31
|
BLAZEK CONTRACTING CORP.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
238100
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
KEN BLAZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-31 |
Name of individual signing |
JENNIFER L. CRUST, CPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAZEK CONTRACTING CORP. 401(K) & PSP
|
2015
|
273607836
|
2016-07-22
|
BLAZEK CONTRACTING CORP.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-09-01
|
Business code |
238100
|
Sponsor’s telephone number |
2188202741
|
Plan sponsor’s
address |
16060 COUNTY ROAD 24, BRAINERD, MN, 56401
|
|