| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
444200
|
| Sponsor’s telephone number |
6516994825
|
| Plan sponsor’s mailing address |
1595 SELBY AVE STE 205, SAINT PAUL, MN, 551044528
|
| Plan sponsor’s
address |
1595 SELBY AVE STE 205, SAINT PAUL, MN, 551044528
|
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
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
12 |
Signature of
| Role |
Plan administrator |
| Date |
2022-10-12 |
| Name of individual signing |
ANTHONY BATTLES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
444200
|
| Sponsor’s telephone number |
6516994825
|
| Plan sponsor’s mailing address |
C/O PATTI SULLIVAN CH. TRUSTEE, 1595 SELBY AVE STE 205, SAINT PAUL, MN, 551044528
|
| Plan sponsor’s
address |
C/O PATTI SULLIVAN CH. TRUSTEE, 1595 SELBY AVE STE 205, SAINT PAUL, MN, 551044528
|
Number of participants as of the end of the plan year
| Active participants |
637 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
51 |
| 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 |
147 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
9 |
Signature of
| Role |
Plan administrator |
| Date |
2021-10-14 |
| Name of individual signing |
ANTHONY BATTLES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-10-14 |
| Name of individual signing |
ANTHONY BATTLES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
