651-CARPETS 401(K) PLAN
|
2023
|
462401866
|
2024-05-28
|
651 CARPETS, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6515581804
|
Plan sponsor’s
address |
1333 CONSTANCE BLVD. NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2024-05-28 |
Name of individual signing |
CARISSA BOLTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
651-CARPETS 401(K) PLAN
|
2022
|
462401866
|
2023-05-29
|
651 CARPETS, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6515581804
|
Plan sponsor’s
address |
1333 CONSTANCE BLVD. NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2023-05-29 |
Name of individual signing |
CARISSA BOLTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
651-CARPETS 401(K) PLAN
|
2021
|
462401866
|
2022-05-18
|
651 CARPETS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6515581804
|
Plan sponsor’s
address |
1333 CONSTANCE BLVD. NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2022-05-18 |
Name of individual signing |
CARISSA BOLTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
651 CARPETS 401(K) PLAN
|
2020
|
462401866
|
2021-06-28
|
651-CARPETS INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6512277387
|
Plan sponsor’s
address |
1333 CONSTANCE BLVD NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2021-06-28 |
Name of individual signing |
CARISSA BOLTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
651 CARPETS 401(K) PLAN
|
2019
|
462401866
|
2020-08-14
|
651-CARPETS INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6512277387
|
Plan sponsor’s
address |
1333 CONSTANCE BLVD NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
THERESA GEBHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-14 |
Name of individual signing |
THERESA GEBHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
651 CARPETS 401(K) PLAN
|
2018
|
462401866
|
2019-10-14
|
651-CARPETS INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6513286083
|
Plan sponsor’s
address |
613 COUNTY ROAD E W, SHOREVIEW, MN, 55126
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
THERESA GEBHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
THERESA GEBHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
651 CARPETS 401(K) PLAN
|
2017
|
462401866
|
2018-07-05
|
651-CARPETS INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6514660130
|
Plan sponsor’s
address |
613 COUNTY ROAD E W, SHOREVIEW, MN, 55126
|
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
VICKY SAVAGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
651 CARPETS 401(K) PLAN
|
2016
|
462401866
|
2017-06-06
|
651 CARPETS INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6514660130
|
Plan sponsor’s
address |
613 COUNTY ROAD E W, SHOREVIEW, MN, 55126
|
Signature of
Role |
Plan administrator |
Date |
2017-06-06 |
Name of individual signing |
CARISSA BOLTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|