PATRIOT TITLE AGENCY LLC 401(K) PLAN
|
2012
|
731671895
|
2013-05-01
|
PATRIOT TITLE AGENCY LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
9522249301
|
Plan sponsor’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Signature of
Role |
Plan administrator |
Date |
2013-05-01 |
Name of individual signing |
LARRY STOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-01 |
Name of individual signing |
LARRY STOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT TITLE AGENCY LLC 401(K) PLAN
|
2011
|
731671895
|
2012-07-20
|
PATRIOT TITLE AGENCY LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
9522249301
|
Plan sponsor’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
Administrator’s EIN |
731671895 |
Plan administrator’s name |
PATRIOT TITLE AGENCY LLC |
Plan administrator’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044 |
Administrator’s telephone number |
9522249301 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
LARRY STOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT TITLE AGENCY LLC 401(K) PLAN
|
2010
|
731671895
|
2011-08-05
|
PATRIOT TITLE AGENCY LLC
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
9522249301
|
Plan sponsor’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
Administrator’s EIN |
731671895 |
Plan administrator’s name |
PATRIOT TITLE AGENCY LLC |
Plan administrator’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044 |
Administrator’s telephone number |
9522249301 |
Signature of
Role |
Plan administrator |
Date |
2011-08-05 |
Name of individual signing |
LARRY STOLLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PATRIOT TITLE AGENCY LLC 401(K) PLAN
|
2010
|
731671895
|
2011-08-09
|
PATRIOT TITLE AGENCY LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
9522249301
|
Plan sponsor’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
Administrator’s EIN |
731671895 |
Plan administrator’s name |
PATRIOT TITLE AGENCY LLC |
Plan administrator’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044 |
Administrator’s telephone number |
9522249301 |
Signature of
Role |
Plan administrator |
Date |
2011-08-09 |
Name of individual signing |
LARRY STOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT TITLE AGENCY LLC 401 (K) PLAN
|
2009
|
731671895
|
2010-07-15
|
PATRIOT TITLE AGENCY LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
9522249301
|
Plan sponsor’s mailing address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Plan sponsor’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
Administrator’s EIN |
731671895 |
Plan administrator’s name |
PATRIOT TITLE AGENCY LLC |
Plan administrator’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044 |
Administrator’s telephone number |
9522249301 |
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
5 |
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 |
2010-07-15 |
Name of individual signing |
TAMI BADOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT TITLE AGENCY LLC 401(K) PLAN
|
2009
|
731671895
|
2010-06-03
|
PATRIOT TITLE AGENCY LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
9522249301
|
Plan sponsor’s mailing address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Plan sponsor’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
Administrator’s EIN |
731671895 |
Plan administrator’s name |
PATRIOT TITLE AGENCY LLC |
Plan administrator’s
address |
10511 165TH STREET WEST, LAKEVILLE, MN, 55044 |
Administrator’s telephone number |
9522249301 |
Number of participants as of the end of the plan year
Active participants |
11 |
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 |
4 |
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 |
2010-06-03 |
Name of individual signing |
TAMI BADOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|