TIMBER LODGE STEAKHOUSE INC. 401K/PROFIT SHARING PLAN
|
2010
|
411810126
|
2011-07-20
|
TIMBER LODGE STEAKHOUSE INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-02-01
|
Business code |
722110
|
Sponsor’s telephone number |
6512272333
|
Plan sponsor’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107
|
Plan administrator’s name and address
Administrator’s EIN |
411810126 |
Plan administrator’s name |
TIMBER LODGE STEAKHOUSE INC. |
Plan administrator’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107 |
Administrator’s telephone number |
6512272333 |
Signature of
Role |
Plan administrator |
Date |
2011-07-20 |
Name of individual signing |
TIMOTHY CULLERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMBER LODGE STEAKHOUSE, INC. 401K PROFIT SHARING PLAN
|
2010
|
411810126
|
2011-08-22
|
TIMBER LODGE STEAKHOUSE, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-02-01
|
Business code |
722110
|
Sponsor’s telephone number |
6512272333
|
Plan sponsor’s
address |
380 E. LAFAYETTE FRONTAGE RD, SUITE 110, SAINT PAUL, MN, 55107
|
Plan administrator’s name and address
Administrator’s EIN |
411810126 |
Plan administrator’s name |
TIMBER LODGE STEAKHOUSE, INC. |
Plan administrator’s
address |
380 E. LAFAYETTE FRONTAGE RD, SUITE 110, SAINT PAUL, MN, 55107 |
Administrator’s telephone number |
6512272333 |
Signature of
Role |
Plan administrator |
Date |
2011-08-22 |
Name of individual signing |
TIMOTHY CULLERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-22 |
Name of individual signing |
TIMOTHY CULLERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMBER LODGE STEAKHOUSE INC. 401K/PROFIT SHARING PLAN
|
2009
|
411810126
|
2010-07-22
|
TIMBER LODGE STEAKHOUSE INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-02-01
|
Business code |
722110
|
Sponsor’s telephone number |
6512272333
|
Plan sponsor’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107
|
Plan administrator’s name and address
Administrator’s EIN |
411810126 |
Plan administrator’s name |
TIMBER LODGE STEAKHOUSE INC. |
Plan administrator’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107 |
Administrator’s telephone number |
6512272333 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
TIMOTHY CULLERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TIMBER LODGE STEAKHOUSE INC. 401K/PROFIT SHARING PLAN
|
2009
|
411810126
|
2010-07-22
|
TIMBER LODGE STEAKHOUSE INC.
|
59
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-02-01
|
Business code |
722110
|
Sponsor’s telephone number |
6512272333
|
Plan sponsor’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107
|
Plan administrator’s name and address
Administrator’s EIN |
411810126 |
Plan administrator’s name |
TIMBER LODGE STEAKHOUSE INC. |
Plan administrator’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107 |
Administrator’s telephone number |
6512272333 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
TIMOTHY CULLERS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
TIMBER LODGE STEAKHOUSE INC. 401K/PROFIT SHARING PLAN
|
2009
|
411810126
|
2010-07-21
|
TIMBER LODGE STEAKHOUSE INC.
|
59
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-02-01
|
Business code |
722110
|
Sponsor’s telephone number |
6512272333
|
Plan sponsor’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107
|
Plan administrator’s name and address
Administrator’s EIN |
411810126 |
Plan administrator’s name |
TIMBER LODGE STEAKHOUSE INC. |
Plan administrator’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107 |
Administrator’s telephone number |
6512272333 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
TIMOTHY MICHAEL CULLERS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
TIMBER LODGE STEAKHOUSE INC. 401K/PROFIT SHARING PLAN
|
2009
|
411810126
|
2010-07-22
|
TIMBER LODGE STEAKHOUSE INC.
|
59
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-02-01
|
Business code |
722110
|
Sponsor’s telephone number |
6512272333
|
Plan sponsor’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107
|
Plan administrator’s name and address
Administrator’s EIN |
411810126 |
Plan administrator’s name |
TIMBER LODGE STEAKHOUSE INC. |
Plan administrator’s
address |
380 E. LAFAYETTE FRONTAGE RD., SUITE 110, SAINT PAUL, MN, 55107 |
Administrator’s telephone number |
6512272333 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
TIMOTHY CULLERS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|