|
JENSEN, BELL, CONVERSE & ERICKSON, P.A. PROFIT SHARING PLAN
|
2011
|
411767166
|
2012-05-09
|
JENSEN, BELL, CONVERSE & ERICKSON, P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1968-09-15
|
| Business code |
541110
|
| Sponsor’s telephone number |
6512234999
|
| Plan sponsor’s
address |
1700 WEST HIGHWAY 36, SUITE 110, ROSEVILLE, MN, 551134093
|
Plan administrator’s name and address
| Administrator’s EIN |
411767166 |
| Plan administrator’s name |
JENSEN, BELL, CONVERSE & ERICKSON, P.A. |
| Plan administrator’s
address |
1700 WEST HIGHWAY 36, SUITE 110, ROSEVILLE, MN, 551134093 |
| Administrator’s telephone number |
6512234999 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-04 |
| Name of individual signing |
CHARLES BARTHOLDI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-05-04 |
| Name of individual signing |
CHARLES BARTHOLDI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JENSEN, BELL, CONVERSE & ERICKSON, P.A. PROFIT SHARING PLAN
|
2010
|
411767166
|
2011-10-13
|
JENSEN, BELL, CONVERSE & ERICKSON, P.A.
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1968-09-15
|
| Business code |
541110
|
| Sponsor’s telephone number |
6512234999
|
| Plan sponsor’s
address |
1700 WEST HIGHWAY 36, SUITE 110, ROSEVILLE, MN, 551134093
|
Plan administrator’s name and address
| Administrator’s EIN |
411767166 |
| Plan administrator’s name |
JENSEN, BELL, CONVERSE & ERICKSON, P.A. |
| Plan administrator’s
address |
1700 WEST HIGHWAY 36, SUITE 110, ROSEVILLE, MN, 551134093 |
| Administrator’s telephone number |
6512234999 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-13 |
| Name of individual signing |
CHARLES BARTHOLDI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-13 |
| Name of individual signing |
CHARLES BARTHOLDI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JENSEN, BELL, CONVERSE & ERICKSON, P.A.
|
2009
|
411767166
|
2010-10-15
|
JENSEN, BELL, CONVERSE & ERICKSON, P.A.
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1968-09-15
|
| Business code |
541110
|
| Sponsor’s telephone number |
6512234999
|
| Plan sponsor’s
address |
30 EAST 7TH STREET, SUITE 1500, ST. PAUL, MN, 55101
|
Plan administrator’s name and address
| Administrator’s EIN |
411767166 |
| Plan administrator’s name |
JENSEN, BELL, CONVERSE & ERICKSON, P.A. |
| Plan administrator’s
address |
30 EAST 7TH STREET, SUITE 1500, ST. PAUL, MN, 55101 |
| Administrator’s telephone number |
6512234999 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
CHARLES BARTHOLDI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-15 |
| Name of individual signing |
CHARLES BARTHOLDI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
