JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2017
|
411567437
|
2018-04-08
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
PO BOX 431377, BROOKLYN PARK, MN, 55443
|
Signature of
Role |
Plan administrator |
Date |
2018-04-08 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. PROFIT SHARING PLAN
|
2016
|
411567437
|
2017-06-08
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
106
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-02-01
|
Business code |
812990
|
Sponsor’s telephone number |
6128670461
|
Plan sponsor’s mailing address |
P.O. BOX 431377, BROOKLYN PARK, MN, 55443
|
Plan sponsor’s
address |
43 MAIN STREET SE SUITE 148, MINNEAPOLIS, MN, 55414
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
2 |
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 |
2017-06-08 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. PROFIT SHARING PLAN
|
2016
|
411567437
|
2017-06-09
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-02-01
|
Business code |
812990
|
Sponsor’s telephone number |
6128670461
|
Plan sponsor’s mailing address |
P.O. BOX 431377, BROOKLYN PARK, MN, 55443
|
Plan sponsor’s
address |
43 MAIN STREET SE SUITE 148, MINNEAPOLIS, MN, 55414
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
2 |
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 |
2017-06-09 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2016
|
411567437
|
2017-10-11
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
PO BOX 431377, BROOKLYN PARK, MN, 55443
|
Signature of
Role |
Plan administrator |
Date |
2017-10-11 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2015
|
411567437
|
2016-11-02
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414
|
Signature of
Role |
Plan administrator |
Date |
2016-11-02 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2014
|
411567437
|
2015-11-11
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414
|
Signature of
Role |
Plan administrator |
Date |
2015-11-11 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2013
|
411567437
|
2014-11-07
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414
|
Signature of
Role |
Plan administrator |
Date |
2014-11-07 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2012
|
411567437
|
2013-11-06
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414
|
Signature of
Role |
Plan administrator |
Date |
2013-11-06 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-11-06 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2011
|
411567437
|
2012-11-09
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414
|
Plan administrator’s name and address
Administrator’s EIN |
411567437 |
Plan administrator’s name |
JEFFREY SLOCUM & ASSOCIATES, INC. |
Plan administrator’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414 |
Administrator’s telephone number |
6123387020 |
Signature of
Role |
Plan administrator |
Date |
2012-11-09 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-09 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY SLOCUM & ASSOCIATES, INC. CASH BALANCE PLAN
|
2010
|
411567437
|
2011-10-05
|
JEFFREY SLOCUM & ASSOCIATES, INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
6123387020
|
Plan sponsor’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414
|
Plan administrator’s name and address
Administrator’s EIN |
411567437 |
Plan administrator’s name |
JEFFREY SLOCUM & ASSOCIATES, INC. |
Plan administrator’s
address |
43 MAIN STREET, SE, SUITE 148, MINNEAPOLIS, MN, 55414 |
Administrator’s telephone number |
6123387020 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-05 |
Name of individual signing |
KERRY MUMMAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|