FLOORS NORTHWEST INC 401K PROFIT SHARING PLAN TRUST
|
2021
|
411414581
|
2023-02-08
|
FLOORS NORTHWEST INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2023-02-08 |
Name of individual signing |
ANGELA DOBMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-02-08 |
Name of individual signing |
ANGELA DOBMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401K PROFIT SHARING PLAN TRUST
|
2021
|
411414581
|
2022-06-10
|
FLOORS NORTHWEST INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2022-06-10 |
Name of individual signing |
ANGELA DOLOMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401K PROFIT SHARING PLAN TRUST
|
2019
|
411414581
|
2020-07-10
|
FLOORS NORTHWEST INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
ANGELA DOLOMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401K PROFIT SHARING PLAN TRUST
|
2018
|
411414581
|
2019-07-15
|
FLOORS NORTHWEST INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2019-07-15 |
Name of individual signing |
ANGELA DOLOMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401K PROFIT SHARING PLAN TRUST
|
2017
|
411414581
|
2018-07-12
|
FLOORS NORTHWEST INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 55432
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
ANGELA DOLOMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
411414581
|
2017-05-15
|
FLOORS NORTHWEST INC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 554325437
|
Signature of
Role |
Plan administrator |
Date |
2017-05-15 |
Name of individual signing |
BEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
411414581
|
2016-06-09
|
FLOORS NORTHWEST INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 554325437
|
Signature of
Role |
Plan administrator |
Date |
2016-06-09 |
Name of individual signing |
BEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
411414581
|
2015-05-28
|
FLOORS NORTHWEST INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 554325437
|
Signature of
Role |
Plan administrator |
Date |
2015-05-28 |
Name of individual signing |
BEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
411414581
|
2014-05-08
|
FLOORS NORTHWEST INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 554325437
|
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
BEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOORS NORTHWEST INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
411414581
|
2013-05-30
|
FLOORS NORTHWEST INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7635867070
|
Plan sponsor’s
address |
5780 MAIN ST NE, FRIDLEY, MN, 554325437
|
Signature of
Role |
Plan administrator |
Date |
2013-05-30 |
Name of individual signing |
FLOORS NORTHWEST INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|