LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2010
|
200586386
|
2010-10-29
|
LAKE COUNTRY HOMES, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-10-29 |
Name of individual signing |
ESPARZA RANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2009
|
200586386
|
2010-06-28
|
LAKE COUNTRY HOMES, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-06-28 |
Name of individual signing |
RANDALL ESPARZA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2009
|
200586386
|
2010-06-28
|
LAKE COUNTRY HOMES, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-06-28 |
Name of individual signing |
RANDALL ESPARZA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2009
|
200586386
|
2010-09-13
|
LAKE COUNTRY HOMES, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
ESPARZA RANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2009
|
200586386
|
2010-07-19
|
LAKE COUNTRY HOMES, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
RANDALL ESPARZA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2009
|
200586386
|
2010-06-28
|
LAKE COUNTRY HOMES, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-06-28 |
Name of individual signing |
RANDALL ESPARZA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2009
|
200586386
|
2010-06-28
|
LAKE COUNTRY HOMES, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-06-28 |
Name of individual signing |
RANDALL ESPARZA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAKE COUNTRY HOMES RETIREMENT SAVINGS PLAN
|
2009
|
200586386
|
2010-06-26
|
LAKE COUNTRY HOMES, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
453930
|
Sponsor’s telephone number |
7634344465
|
Plan sponsor’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449
|
Plan administrator’s name and address
Administrator’s EIN |
200586386 |
Plan administrator’s name |
LAKE COUNTRY HOMES, INC. |
Plan administrator’s
address |
2407 109TH AVENUE NE, SUITE 250, BLAINE, MN, 55449 |
Administrator’s telephone number |
7634344465 |
Signature of
Role |
Plan administrator |
Date |
2010-06-26 |
Name of individual signing |
RANDALL ESPARZA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|