|
CUSTOM STRIPES, INC. SIMPLE 401(K) PLAN
|
2013
|
450432523
|
2014-07-15
|
CUSTOM STRIPES, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
2187737157
|
| Plan sponsor’s
address |
20123 430TH AVENUE SW, EAST GRAND FORKS, MN, 56721
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-15 |
| Name of individual signing |
KARI PERREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-07-15 |
| Name of individual signing |
KARI PERREULAT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CUSTOM STRIPES, INC. SIMPLE 401(K) PLAN
|
2012
|
450432523
|
2013-07-18
|
CUSTOM STRIPES, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
2187737157
|
| Plan sponsor’s
address |
20123 430TH AVENUE SW, EAST GRAND FORKS, MN, 56721
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-18 |
| Name of individual signing |
KARI PERREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-18 |
| Name of individual signing |
KARI PERREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CUSTOM STRIPES, INC. SIMPLE 401(K) PLAN
|
2011
|
450432523
|
2012-07-25
|
CUSTOM STRIPES, INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
2187737157
|
| Plan sponsor’s
address |
20123 430TH AVENUE SW, EAST GRAND FORKS, MN, 56721
|
Plan administrator’s name and address
| Administrator’s EIN |
450432523 |
| Plan administrator’s name |
CUSTOM STRIPES, INC. |
| Plan administrator’s
address |
20123 430TH AVENUE SW, EAST GRAND FORKS, MN, 56721 |
| Administrator’s telephone number |
2187737157 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-25 |
| Name of individual signing |
KARI PERREAULT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
