NORTHLAND FOUNDATION 403(B) PLAN
|
2023
|
411554455
|
2024-07-12
|
NORTHLAND FOUNDATION
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187407317
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET SUITE 800, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2024-07-12 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2022
|
411554455
|
2023-08-22
|
NORTHLAND FOUNDATION
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187407303
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET SUITE 800, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2023-08-22 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2021
|
411554455
|
2022-09-07
|
NORTHLAND FOUNDATION
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187407317
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET SUITE 610, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2022-09-07 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2020
|
411554455
|
2021-09-02
|
NORTHLAND FOUNDATION
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187407317
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET SUITE 610, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2021-09-02 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2019
|
411554455
|
2020-06-09
|
NORTHLAND FOUNDATION
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187407317
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET SUITE 610, DULUTH, MN, 55802
|
Signature of
Role |
Plan administrator |
Date |
2020-06-09 |
Name of individual signing |
PLAN ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2018
|
411554455
|
2019-05-21
|
NORTHLAND FOUNDATION
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187234040
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET, SUITE 610, DULUTH, MN, 558021944
|
Signature of
Role |
Plan administrator |
Date |
2019-05-20 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-21 |
Name of individual signing |
TONY SERTICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2017
|
411554455
|
2018-07-11
|
NORTHLAND FOUNDATION
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187234040
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET, SUITE 610, DULUTH, MN, 558021944
|
Signature of
Role |
Plan administrator |
Date |
2018-06-28 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-11 |
Name of individual signing |
TONY SERTICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2016
|
411554455
|
2017-07-18
|
NORTHLAND FOUNDATION
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187234040
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET, SUITE 610, DULUTH, MN, 558021944
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2015
|
411554455
|
2016-06-07
|
NORTHLAND FOUNDATION
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187234040
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET, SUITE 610, DULUTH, MN, 558021944
|
Signature of
Role |
Plan administrator |
Date |
2016-06-07 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHLAND FOUNDATION 403(B) PLAN
|
2014
|
411554455
|
2015-10-14
|
NORTHLAND FOUNDATION
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
2187234040
|
Plan sponsor’s
address |
202 WEST SUPERIOR STREET, SUITE 610, DULUTH, MN, 558021944
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
HEATHER BROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|