TAVERN ON GRAND 401(K) PLAN
|
2011
|
411735634
|
2012-05-08
|
TAVERN ON GRAND
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-03-16
|
Business code |
722110
|
Sponsor’s telephone number |
6512289030
|
Plan sponsor’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105
|
Plan administrator’s name and address
Administrator’s EIN |
411735634 |
Plan administrator’s name |
TAVERN ON GRAND |
Plan administrator’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105 |
Administrator’s telephone number |
6512289030 |
Signature of
Role |
Plan administrator |
Date |
2012-05-08 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-08 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAVERN ON GRAND 401(K) PLAN
|
2011
|
411735634
|
2012-05-08
|
TAVERN ON GRAND
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-03-16
|
Business code |
722110
|
Sponsor’s telephone number |
6512289030
|
Plan sponsor’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105
|
Plan administrator’s name and address
Administrator’s EIN |
411735634 |
Plan administrator’s name |
TAVERN ON GRAND |
Plan administrator’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105 |
Administrator’s telephone number |
6512289030 |
Signature of
Role |
Plan administrator |
Date |
2012-05-08 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-08 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAVERN ON GRAND 401(K) PLAN
|
2010
|
411735634
|
2011-10-13
|
TAVERN ON GRAND
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-03-16
|
Business code |
722110
|
Sponsor’s telephone number |
6512289030
|
Plan sponsor’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105
|
Plan administrator’s name and address
Administrator’s EIN |
411735634 |
Plan administrator’s name |
TAVERN ON GRAND |
Plan administrator’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105 |
Administrator’s telephone number |
6512289030 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAVERN ON GRAND 401(K) PLAN
|
2010
|
411735634
|
2011-10-13
|
TAVERN ON GRAND
|
34
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-03-16
|
Business code |
722110
|
Sponsor’s telephone number |
6512289030
|
Plan sponsor’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105
|
Plan administrator’s name and address
Administrator’s EIN |
411735634 |
Plan administrator’s name |
TAVERN ON GRAND |
Plan administrator’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105 |
Administrator’s telephone number |
6512289030 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
TAVERN ON GRAND 401(K) PLAN
|
2009
|
411735634
|
2010-10-01
|
TAVERN ON GRAND
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-03-16
|
Business code |
722110
|
Sponsor’s telephone number |
6512289030
|
Plan sponsor’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105
|
Plan administrator’s name and address
Administrator’s EIN |
411735634 |
Plan administrator’s name |
TAVERN ON GRAND |
Plan administrator’s
address |
656 GRAND AVENUE, ST. PAUL, MN, 55105 |
Administrator’s telephone number |
6512289030 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-30 |
Name of individual signing |
MICHAEL FLODQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|