COKI SERVICES RETIREMENT PLAN
|
2018
|
264027260
|
2019-07-24
|
COKI SERVICES CORPORATION
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-15
|
Business code |
561790
|
Sponsor’s telephone number |
6128043821
|
Plan sponsor’s mailing address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246
|
Plan sponsor’s
address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246
|
Number of participants as of the end of the plan year
Active participants |
0 |
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 that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COKI SERVICES RETIREMENT PLAN
|
2017
|
264027260
|
2018-07-01
|
COKI SERVICES CORPORATION
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-15
|
Business code |
561790
|
Sponsor’s telephone number |
6128043821
|
Plan sponsor’s mailing address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246
|
Plan sponsor’s
address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246
|
Plan administrator’s name and address
Administrator’s EIN |
264027260 |
Plan administrator’s name |
COKI SERVICES CORPORATION |
Plan administrator’s
address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246 |
Administrator’s telephone number |
6128043821 |
Number of participants as of the end of the plan year
Active participants |
1 |
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 |
2018-07-01 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-01 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COKI SERVICES RETIREMENT PLAN
|
2016
|
264027260
|
2017-06-01
|
COKI SERVICES CORPORATION
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-15
|
Business code |
561790
|
Sponsor’s telephone number |
6128043821
|
Plan
sponsor’s DBA name |
COKI PRODUCT
|
Plan sponsor’s mailing address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246
|
Plan sponsor’s
address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246
|
Plan administrator’s name and address
Administrator’s EIN |
264027260 |
Plan administrator’s name |
COKI SERVICES CORPORATION |
Plan administrator’s
address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 55124 |
Administrator’s telephone number |
6128043821 |
Number of participants as of the end of the plan year
Active participants |
1 |
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 |
2017-06-01 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-01 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COKI SERVICES RETIREMENT PLAN
|
2015
|
264027260
|
2016-07-20
|
COKI SERVICES CORPORATION
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-15
|
Business code |
561790
|
Sponsor’s telephone number |
6128043821
|
Plan sponsor’s mailing address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 551245246
|
Plan sponsor’s
address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 55124
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-20 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COKI SERVICES RETIREMENT PLAN
|
2014
|
264027260
|
2015-07-15
|
COKI SERVICES CORPORATION
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-15
|
Business code |
561790
|
Sponsor’s telephone number |
6128043821
|
Plan sponsor’s mailing address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 55124
|
Plan sponsor’s
address |
13688 DUNBAR WAY, APPLE VALLEY, MN, 55124
|
Number of participants as of the end of the plan year
Active participants |
1 |
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 |
2015-07-15 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-15 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COKI SERVICES RETIREMENT PLAN
|
2014
|
264027260
|
2015-02-14
|
COKI SERVICES CORPORATION
|
1
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-15
|
Business code |
561790
|
Sponsor’s telephone number |
6128043821
|
Plan sponsor’s
address |
13688 DUNBAR WAY, MINNESOTA, MN, 55124
|
Signature of
Role |
Plan administrator |
Date |
2015-02-14 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-02-14 |
Name of individual signing |
SYLVIA MATIJASEVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|