COLLIS AMERICA, INC 401(K) PLAN
|
2012
|
261207429
|
2013-10-25
|
COLLIS AMERICA, INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6519255410
|
Plan sponsor’s
address |
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437
|
Signature of
Role |
Plan administrator |
Date |
2013-10-25 |
Name of individual signing |
MIRANDA MARSELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-25 |
Name of individual signing |
MIRANDA MARSELIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLIS AMERICA, INC 401(K) PLAN
|
2012
|
261207429
|
2013-07-30
|
COLLIS AMERICA, INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6519255410
|
Plan sponsor’s
address |
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437
|
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
COLLIS AMERICA INC. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLIS AMERICA, INC 401(K) PLAN
|
2011
|
261207429
|
2012-07-24
|
COLLIS AMERICA, INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6519255410
|
Plan sponsor’s
address |
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437
|
Plan administrator’s name and address
Administrator’s EIN |
261207429 |
Plan administrator’s name |
COLLIS AMERICA, INC |
Plan administrator’s
address |
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437 |
Administrator’s telephone number |
6519255410 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
BARBARA VERMEULEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-24 |
Name of individual signing |
ANDRE REUMERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLIS AMERICA, INC 401(K) PLAN
|
2010
|
261207429
|
2011-08-10
|
COLLIS AMERICA, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6519255410
|
Plan sponsor’s
address |
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437
|
Plan administrator’s name and address
Administrator’s EIN |
261207429 |
Plan administrator’s name |
COLLIS AMERICA, INC |
Plan administrator’s
address |
8400 NORMANDALE LAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437 |
Administrator’s telephone number |
6519255410 |
Signature of
Role |
Plan administrator |
Date |
2011-08-10 |
Name of individual signing |
BARBARA VERMEULEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-10 |
Name of individual signing |
ANDRE REUMERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLIS AMERICA, INC 401(K) PLAN
|
2009
|
261207429
|
2010-10-08
|
COLLIS AMERICA, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6519255414
|
Plan sponsor’s
address |
8400 NORMANLAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437
|
Plan administrator’s name and address
Administrator’s EIN |
261207429 |
Plan administrator’s name |
COLLIS AMERICA, INC |
Plan administrator’s
address |
8400 NORMANLAKE BLVD, SUITE 920, BLOOMINGTON, MN, 55437 |
Administrator’s telephone number |
6519255414 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
BARBARA VERMEULEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
ANDRE REUMERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|