LEJEUNE INVESTMENT, INC. 401(K) PLAN
|
2013
|
411409794
|
2014-03-05
|
LEJEUNE INVESTMENT, INC.
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
0 |
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 |
2014-03-05 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEJEUNE INVESTMENT, INC. PREMIUM ONLY PLAN
|
2012
|
411409794
|
2013-08-28
|
LEJEUNE INVESTMENT, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-07-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-08-27 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEJEUNE INVESTMENT, INC. PREMIUM ONLY PLAN
|
2012
|
411409794
|
2013-08-28
|
LEJEUNE INVESTMENT, INC.
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-07-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
3 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-08-27 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEJEUNE INVESTMENT, INC. 401(K) PLAN
|
2012
|
411409794
|
2013-07-02
|
LEJEUNE INVESTMENT, INC.
|
203
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
171 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
172 |
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 |
2013-07-02 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEJEUNE INVESTMENT, INC. 401(K) PLAN
|
2012
|
411409794
|
2013-06-19
|
LEJEUNE INVESTMENT, INC.
|
203
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
171 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
172 |
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 |
2013-06-19 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE, AD&D AND DEPENDENTS LIFE INSURANCE/LONG TERM DISABILITY INSURANCE
|
2012
|
411409794
|
2013-05-29
|
LEJEUNE INVESTMENT, INC.
|
209
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-12-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE, AD&D AND DEPENDENTS LIFE INSURANCE/LONG TERM DISABILITY INSURANCE
|
2011
|
411409794
|
2013-05-29
|
LEJEUNE INVESTMENT, INC.
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-12-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
209 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEJEUNE INVESTMENT, INC. PREMIUM ONLY PLAN
|
2011
|
411409794
|
2012-12-27
|
LEJEUNE INVESTMENT, INC.
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-07-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
144 |
Retired or separated participants receiving
benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
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 |
2012-12-27 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEJEUNE INVESTMENT, INC. 401(K) PLAN
|
2011
|
411409794
|
2012-07-13
|
LEJEUNE INVESTMENT, INC.
|
222
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD., MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
172 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
29 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
180 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE, AD&D AND DEPENDENTS LIFE INSURANCE / LONG TERM DISABILITY INSURANCE
|
2010
|
411409794
|
2012-06-20
|
LEJEUNE INVESTMENT, INC.
|
205
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-12-01
|
Business code |
441110
|
Sponsor’s telephone number |
7637449100
|
Plan sponsor’s mailing address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan sponsor’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426
|
Plan administrator’s name and address
Administrator’s EIN |
411409794 |
Plan administrator’s name |
LEJEUNE INVESTMENT, INC. |
Plan administrator’s
address |
9393 WAYZATA BLVD, MINNEAPOLIS, MN, 55426 |
Administrator’s telephone number |
7637449100 |
Number of participants as of the end of the plan year
Active participants |
200 |
Retired or separated participants receiving
benefits |
1 |
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 |
0 |
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 |
2012-06-19 |
Name of individual signing |
THOMAS STUDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|