THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2015
|
710945411
|
2016-02-23
|
THE FURNITURE SOURCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9529089961
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344 |
Administrator’s telephone number |
9529089961 |
Signature of
Role |
Plan administrator |
Date |
2016-02-23 |
Name of individual signing |
MICHELLE BARTHOLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2015
|
710945411
|
2016-09-01
|
THE FURNITURE SOURCE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9529089961
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344
|
Signature of
Role |
Plan administrator |
Date |
2016-09-01 |
Name of individual signing |
DANIEL SHEEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2014
|
710945411
|
2015-04-22
|
THE FURNITURE SOURCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9529089961
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344 |
Administrator’s telephone number |
9529089961 |
Signature of
Role |
Plan administrator |
Date |
2015-04-22 |
Name of individual signing |
MICHELLE BARTHOLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2013
|
710945411
|
2014-05-20
|
THE FURNITURE SOURCE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9529089961
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344 |
Administrator’s telephone number |
9529089961 |
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
MICHELLE BARTHOLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2012
|
710945411
|
2013-05-17
|
THE FURNITURE SOURCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9529089961
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344 |
Administrator’s telephone number |
9529089961 |
Signature of
Role |
Plan administrator |
Date |
2013-05-17 |
Name of individual signing |
DAN SHEEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2011
|
710945411
|
2012-05-15
|
THE FURNITURE SOURCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRAIRIE, MN, 55344 |
Administrator’s telephone number |
9529089961 |
Signature of
Role |
Plan administrator |
Date |
2012-05-15 |
Name of individual signing |
DAN SHEEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2010
|
710945411
|
2011-02-17
|
THE FURNITURE SOURCE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9528297100
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRARIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRARIE, MN, 55344 |
Administrator’s telephone number |
9528297100 |
Signature of
Role |
Plan administrator |
Date |
2011-02-17 |
Name of individual signing |
DAN SHEEHAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2010
|
710945411
|
2011-02-22
|
THE FURNITURE SOURCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9528297100
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRARIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRARIE, MN, 55344 |
Administrator’s telephone number |
9528297100 |
Signature of
Role |
Plan administrator |
Date |
2011-02-22 |
Name of individual signing |
DAN SHEEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE FURNITURE SOURCE, INC. 401(K) P/S PLAN
|
2009
|
710945411
|
2010-05-27
|
THE FURNITURE SOURCE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9528297100
|
Plan sponsor’s
address |
6813 SHADY OAK RD., EDEN PRARIE, MN, 55344
|
Plan administrator’s name and address
Administrator’s EIN |
710945411 |
Plan administrator’s name |
THE FURNITURE SOURCE, INC. |
Plan administrator’s
address |
6813 SHADY OAK RD., EDEN PRARIE, MN, 55344 |
Administrator’s telephone number |
9528297100 |
Signature of
Role |
Plan administrator |
Date |
2010-05-27 |
Name of individual signing |
DAN SHEEHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|