DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
411437747
|
2020-10-14
|
DICK MILLER AGENCY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan
sponsor’s DBA name |
MILLER-HARTWIG INSURANCE
|
Plan sponsor’s
address |
20960 HOLYOKE AVE, LAKEVILLE, MN, 55044
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
VERONICA MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
411437747
|
2019-10-03
|
DICK MILLER AGENCY, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
411437747
|
2018-10-01
|
DICK MILLER AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
411437747
|
2017-10-11
|
DICK MILLER AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
411437747
|
2016-07-19
|
DICK MILLER AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
411437747
|
2016-03-25
|
DICK MILLER AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
411437747
|
2015-08-11
|
DICK MILLER AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
Signature of
Role |
Plan administrator |
Date |
2015-08-11 |
Name of individual signing |
MICHAEL MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
411437747
|
2014-04-30
|
DICK MILLER AGENCY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
Signature of
Role |
Plan administrator |
Date |
2014-04-30 |
Name of individual signing |
PEGGY MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
411437747
|
2013-06-27
|
DICK MILLER AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
Administrator’s EIN |
411437747 |
Plan administrator’s name |
DICK MILLER AGENCY, INC. |
Plan administrator’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044 |
Administrator’s telephone number |
9524695502 |
Signature of
Role |
Plan administrator |
Date |
2013-06-27 |
Name of individual signing |
TRAVIS STENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DICK MILLER AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
411437747
|
2013-05-17
|
DICK MILLER AGENCY, INC.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
9524695502
|
Plan sponsor’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044
|
Plan administrator’s name and address
Administrator’s EIN |
411437747 |
Plan administrator’s name |
DICK MILLER AGENCY, INC. |
Plan administrator’s
address |
20960 HOLYOKE AVENUE, LAKEVILLE, MN, 55044 |
Administrator’s telephone number |
9524695502 |
Signature of
Role |
Plan administrator |
Date |
2013-05-17 |
Name of individual signing |
TRAVIS STENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|