ELDER JONES HEALTH AND WELFARE BENEFITS PLAN
|
2023
|
410974888
|
2024-07-02
|
ELDER JONES
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
236200
|
Sponsor’s telephone number |
9523456049
|
Plan sponsor’s mailing address |
1120 E 80TH ST, BLOOMINGTON, MN, 554201462
|
Plan sponsor’s
address |
1120 E 80TH ST, BLOOMINGTON, MN, 554201462
|
Number of participants as of the end of the plan year
Active participants |
108 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2024-07-02 |
Name of individual signing |
LISA HUSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
410974888
|
2019-07-29
|
ELDER-JONES, INC.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
DEEDEE TERRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-29 |
Name of individual signing |
DEEDEE TERRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
410974888
|
2018-07-23
|
ELDER-JONES, INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-23 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
410974888
|
2017-07-13
|
ELDER-JONES, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-13 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
410974888
|
2016-07-14
|
ELDER-JONES, INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-14 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
410974888
|
2015-04-16
|
ELDER-JONES, INC.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Signature of
Role |
Plan administrator |
Date |
2015-04-16 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-16 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
410974888
|
2014-06-26
|
ELDER-JONES, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-26 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
410974888
|
2013-06-11
|
ELDER-JONES, INC.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-11 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
410974888
|
2012-04-17
|
ELDER-JONES, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Plan administrator’s name and address
Administrator’s EIN |
410974888 |
Plan administrator’s name |
ELDER-JONES, INC. |
Plan administrator’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463 |
Administrator’s telephone number |
9528542854 |
Signature of
Role |
Plan administrator |
Date |
2012-04-17 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-17 |
Name of individual signing |
KIM MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELDER-JONES, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
410974888
|
2011-06-23
|
ELDER-JONES, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-10-01
|
Business code |
561790
|
Sponsor’s telephone number |
9528542854
|
Plan sponsor’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463
|
Plan administrator’s name and address
Administrator’s EIN |
410974888 |
Plan administrator’s name |
ELDER-JONES, INC. |
Plan administrator’s
address |
1120 E 80TH ST STE 211, BLOOMINGTON, MN, 554201463 |
Administrator’s telephone number |
9528542854 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-23 |
Name of individual signing |
KIMBERLY MARSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|