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Simply Sublime

Company Details

Name: Simply Sublime
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 28 May 2013 (12 years ago)
Company Number: c914b480-c3c7-e211-be65-001ec94ffe7f
File Number: 674394700026
Principal Place of Business Address: 543 Jefferson Lane N.W., Elk River, MN 55330, USA
ZIP code: 55330
County: Sherburne County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2023 202350483 2024-07-07 SIMPLY SUBLIME 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072106813
Plan sponsor’s address 712 E PARK AVE, ALBERT LEA, MN, 56007

Signature of

Role Plan administrator
Date 2024-07-07
Name of individual signing DIANE MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2022 202350483 2023-05-26 SIMPLY SUBLIME 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2023-05-26
Name of individual signing JON MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2021 202350483 2022-03-03 SIMPLY SUBLIME 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2022-03-03
Name of individual signing JON MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2020 202350483 2021-06-03 SIMPLY SUBLIME 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing JON MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2019 202350483 2020-08-10 SIMPLY SUBLIME 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2020-08-10
Name of individual signing DIANE MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2018 202350483 2019-03-08 SIMPLY SUBLIME 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2019-03-08
Name of individual signing DIANE MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2017 202350483 2018-02-19 SIMPLY SUBLIME 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2018-02-19
Name of individual signing JON MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2016 202350483 2017-05-22 SIMPLY SUBLIME 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2017-05-22
Name of individual signing JON MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2015 202350483 2016-03-28 SIMPLY SUBLIME 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2016-03-28
Name of individual signing JON MUNSON
Valid signature Filed with authorized/valid electronic signature
SIMPLY SUBLIME COMPANY 401(K) P/S PLAN 2014 202350483 2015-05-14 SIMPLY SUBLIME 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 323100
Sponsor’s telephone number 5072564488
Plan sponsor’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016

Plan administrator’s name and address

Administrator’s EIN 202350483
Plan administrator’s name SIMPLY SUBLIME
Plan administrator’s address 101 N COMMERCIAL, CLARKS GROVE, MN, 56016
Administrator’s telephone number 5072564488

Signature of

Role Plan administrator
Date 2015-05-14
Name of individual signing JON MUNSON
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Kimberly A Braun Aplicant 1001 Kingwood Street, #103, Brainerd, MN 56401
DeAnne M Tobias Aplicant 543 Jefferson Lane N.W., Elk River, MN 55330

Filing

Filing Name Filing date
Administrative Expiration - Assumed Name 2015-06-04
Original Filing - Assumed Name (Business Name: Simply Sublime ) 2013-05-28

Date of last update: 08 Oct 2024

Sources: Minnesota's Official State Website