|
CHESTNUT CAMBRONNE PA 401(K) PLAN
|
2012
|
410970121
|
2013-05-07
|
CHESTNUT CAMBRONNE PA
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2002-01-11
|
| Business code |
541110
|
| Sponsor’s telephone number |
6123362912
|
| Plan sponsor’s mailing address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401
|
| Plan sponsor’s
address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401
|
Plan administrator’s name and address
| Administrator’s EIN |
410970121 |
| Plan administrator’s name |
CHESTNUT CAMBRONNE PA |
| Plan administrator’s
address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401 |
| Administrator’s telephone number |
6123362912 |
Number of participants as of the end of the plan year
| Active participants |
34 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
6 |
| 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 |
30 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-07 |
| Name of individual signing |
JEFFREY BORES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-05-07 |
| Name of individual signing |
JEFFREY BORES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHESTNUT CAMBRONNE PA 401(K) PLAN
|
2011
|
410970121
|
2012-05-09
|
CHESTNUT CAMBRONNE PA
|
39
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2002-01-11
|
| Business code |
541110
|
| Sponsor’s telephone number |
6123362912
|
| Plan sponsor’s mailing address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401
|
| Plan sponsor’s
address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401
|
Plan administrator’s name and address
| Administrator’s EIN |
410970121 |
| Plan administrator’s name |
CHESTNUT CAMBRONNE PA |
| Plan administrator’s
address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401 |
| Administrator’s telephone number |
6123362912 |
Number of participants as of the end of the plan year
| Active participants |
32 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| 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 |
27 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-09 |
| Name of individual signing |
BRENDA LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHESTNUT & CAMBRONNE, P.A. 401(K) PLAN
|
2010
|
410970121
|
2012-05-07
|
CHESTNUT CAMBRONNE PA
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2002-01-11
|
| Business code |
541110
|
| Sponsor’s telephone number |
6123362912
|
| Plan sponsor’s mailing address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401
|
| Plan sponsor’s
address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401
|
Plan administrator’s name and address
| Administrator’s EIN |
410970121 |
| Plan administrator’s name |
CHESTNUT CAMBRONNE PA |
| Plan administrator’s
address |
17 WASHINGTON AVENUE NORTH, SUITE 3, MINNEAPOLIS, MN, 55401 |
| Administrator’s telephone number |
6123362912 |
Number of participants as of the end of the plan year
| Active participants |
35 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| 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 |
25 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-07 |
| Name of individual signing |
BRENDA LARSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHESTNUT & CAMBRONNE, P.A. 401(K) PLAN
|
2009
|
410970121
|
2010-10-15
|
CHESTNUT CAMBRONNE PA
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2002-01-11
|
| Business code |
541110
|
| Sponsor’s telephone number |
6123362919
|
| Plan sponsor’s mailing address |
SUITE 300, 17 WASHINGTON AVENUE NORTH, MINNEAPOLIS, MN, 55401
|
| Plan sponsor’s
address |
SUITE 300, 17 WASHINGTON AVENUE NORTH, MINNEAPOLIS, MN, 55401
|
Plan administrator’s name and address
| Administrator’s EIN |
410970121 |
| Plan administrator’s name |
CHESTNUT CAMBRONNE PA |
| Plan administrator’s
address |
SUITE 300, 17 WASHINGTON AVENUE NORTH, MINNEAPOLIS, MN, 55401 |
| Administrator’s telephone number |
6123362919 |
Number of participants as of the end of the plan year
| Active participants |
33 |
| 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 |
22 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
ROBERT LAFLEUR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
