THE ORIGINS 403(B) PLAN
|
2023
|
411356854
|
2024-10-08
|
THE ORIGINS PROGRAM
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2022
|
411356854
|
2023-10-14
|
THE ORIGINS PROGRAM
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2023-10-14 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-14 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2021
|
411356854
|
2022-07-29
|
THE ORIGINS PROGRAM
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-29 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2020
|
411356854
|
2021-07-30
|
THE ORIGINS PROGRAM
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-30 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2019
|
411356854
|
2020-07-31
|
THE ORIGINS PROGRAM
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-31 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2018
|
411356854
|
2019-10-03
|
THE ORIGINS PROGRAM
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-03 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2017
|
411356854
|
2018-09-25
|
THE ORIGINS PROGRAM
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2018-09-25 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-25 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2016
|
411356854
|
2017-07-31
|
THE ORIGINS PROGRAM
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2015
|
411356854
|
2016-08-18
|
THE ORIGINS PROGRAM
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 554091232
|
Signature of
Role |
Plan administrator |
Date |
2016-08-18 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-18 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ORIGINS 403(B) PLAN
|
2014
|
411356854
|
2015-08-10
|
THE ORIGINS PROGRAM
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
6128223422
|
Plan sponsor’s
address |
3805 GRAND AVE S, MINNEAPOLIS, MN, 55409
|
Signature of
Role |
Plan administrator |
Date |
2015-08-10 |
Name of individual signing |
ERIK ELLINGSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|