PTL TIRE & AUTO 401(K) PLAN
|
2023
|
411412322
|
2024-08-08
|
PTL TIRE SERVICE, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 CENTRAL AVE NE, HAM LAKE, MN, 55112
|
Signature of
Role |
Plan administrator |
Date |
2024-08-08 |
Name of individual signing |
JESS ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-08-08 |
Name of individual signing |
JESS ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE & AUTO 401(K) PLAN
|
2022
|
411412322
|
2023-09-20
|
PTL TIRE SERVICE, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 CENTRAL AVE NE, HAM LAKE, MN, 55112
|
Signature of
Role |
Plan administrator |
Date |
2023-09-20 |
Name of individual signing |
JESS ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-20 |
Name of individual signing |
JESS ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE & AUTO 401(K) PLAN
|
2021
|
411412322
|
2022-09-22
|
PTL TIRE SERVICE, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 CENTRAL AVE NE, HAM LAKE, MN, 55112
|
Signature of
Role |
Plan administrator |
Date |
2022-09-22 |
Name of individual signing |
JESS ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-22 |
Name of individual signing |
JESS ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE & AUTO 401(K) PLAN
|
2020
|
411412322
|
2021-08-24
|
PTL TIRE SERVICE, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 CENTRAL AVE NE, HAM LAKE, MN, 55112
|
Signature of
Role |
Plan administrator |
Date |
2021-08-24 |
Name of individual signing |
JESSICA ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-24 |
Name of individual signing |
JESSICA ROBERTSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE & AUTO 401(K) PLAN
|
2019
|
411412322
|
2021-06-25
|
PTL TIRE SERVICE, INC.
|
26
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 CENTRAL AVE NE, HAM LAKE, MN, 55112
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-13 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE & AUTO 401(K) PLAN
|
2019
|
411412322
|
2021-06-29
|
PTL TIRE SERVICE, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 CENTRAL AVE NE, HAM LAKE, MN, 55112
|
Signature of
Role |
Plan administrator |
Date |
2021-06-29 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-29 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE SERVICE, INC. 401K PROFIT SHARING PLAN & TRUST
|
2018
|
411412322
|
2019-09-13
|
PTL TIRE SERVICE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 HWY 65 NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2019-09-13 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE SERVICE, INC. 401K PROFIT SHARING PLAN & TRUST
|
2017
|
411412322
|
2018-09-13
|
PTL TIRE SERVICE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 HWY 65 NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2018-09-13 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE SERVICE, INC. 401K PROFIT SHARING PLAN & TRUST
|
2016
|
411412322
|
2017-08-28
|
PTL TIRE SERVICE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 HWY 65 NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2017-08-28 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PTL TIRE SERVICE, INC. 401K PROFIT SHARING PLAN & TRUST
|
2015
|
411412322
|
2016-09-23
|
PTL TIRE SERVICE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
7634347766
|
Plan sponsor’s
address |
15300 HWY 65 NE, HAM LAKE, MN, 55304
|
Signature of
Role |
Plan administrator |
Date |
2016-09-23 |
Name of individual signing |
JODIE NORLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|