IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
264506805
|
2019-08-08
|
IMPACT FLOORING, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Signature of
Role |
Plan administrator |
Date |
2019-08-08 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-08 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
264506805
|
2018-09-21
|
IMPACT FLOORING, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Signature of
Role |
Plan administrator |
Date |
2018-09-21 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-21 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
264506805
|
2017-10-04
|
IMPACT FLOORING, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Signature of
Role |
Plan administrator |
Date |
2017-10-04 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-04 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
264506805
|
2016-09-12
|
IMPACT FLOORING, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Signature of
Role |
Plan administrator |
Date |
2016-09-12 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-12 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
264506805
|
2015-07-23
|
IMPACT FLOORING, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-09 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
264506805
|
2014-10-13
|
IMPACT FLOORING, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
264506805
|
2013-09-05
|
IMPACT FLOORING, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Signature of
Role |
Plan administrator |
Date |
2013-09-05 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
264506805
|
2012-08-27
|
IMPACT FLOORING, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Plan administrator’s name and address
Administrator’s EIN |
264506805 |
Plan administrator’s name |
IMPACT FLOORING, INC. |
Plan administrator’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340 |
Administrator’s telephone number |
7634961052 |
Signature of
Role |
Plan administrator |
Date |
2012-08-27 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
264506805
|
2011-10-04
|
IMPACT FLOORING, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Plan administrator’s name and address
Administrator’s EIN |
264506805 |
Plan administrator’s name |
IMPACT FLOORING, INC. |
Plan administrator’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340 |
Administrator’s telephone number |
7634961052 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IMPACT FLOORING, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
264506805
|
2010-07-16
|
IMPACT FLOORING, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
423300
|
Sponsor’s telephone number |
7634961052
|
Plan sponsor’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340
|
Plan administrator’s name and address
Administrator’s EIN |
264506805 |
Plan administrator’s name |
IMPACT FLOORING, INC. |
Plan administrator’s
address |
19705 COUNTY ROAD 30, CORCORAN, MN, 55340 |
Administrator’s telephone number |
7634961052 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
RHONDA SCHLEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|