PROVIDENCE ASSET MANAGEMENT, LLC 401(K) PLAN
|
2014
|
412000467
|
2015-03-06
|
PROVIDENCE ASSET MANAGEMENT, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
523900
|
Sponsor’s telephone number |
9524017761
|
Plan sponsor’s
address |
8500 NORMANDALE LAKE BLVD. #1640, BLOOMINGTON, MN, 55437
|
|
PROVIDENCE ASSET MANAGEMENT, LLC 401(K) PLAN
|
2014
|
412000467
|
2015-07-20
|
PROVIDENCE ASSET MANAGEMENT, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
523900
|
Sponsor’s telephone number |
9524017761
|
Plan sponsor’s
address |
8500 NORMANDALE LAKE BLVD. #1640, BLOOMINGTON, MN, 55437
|
|
PROVIDENCE ASSET MANAGEMENT, LLC 401(K) PLAN
|
2013
|
412000467
|
2014-03-10
|
PROVIDENCE ASSET MANAGEMENT, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
523900
|
Sponsor’s telephone number |
9524017761
|
Plan sponsor’s
address |
8500 NORMANDALE LAKE BLVD. #1640, BLOOMINGTON, MN, 55437
|
|
PROVIDENCE ASSET MANAGEMENT, LLC 401(K) PLAN
|
2012
|
412000467
|
2013-04-29
|
PROVIDENCE ASSET MANAGEMENT, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
523900
|
Sponsor’s telephone number |
9524017761
|
Plan sponsor’s
address |
8500 NORMANDALE LAKE BLVD. #1640, BLOOMINGTON, MN, 55437
|
Signature of
Role |
Plan administrator |
Date |
2013-04-29 |
Name of individual signing |
THOMAS SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-29 |
Name of individual signing |
THOMAS SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVIDENCE ASSET MANAGEMENT, LLC 401(K) PLAN
|
2011
|
412000467
|
2012-07-30
|
PROVIDENCE ASSET MANAGEMENT, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
523900
|
Sponsor’s telephone number |
9524017761
|
Plan sponsor’s
address |
8500 NORMANDALE LAKE BLVD. #1640, BLOOMINGTON, MN, 55437
|
Plan administrator’s name and address
Administrator’s EIN |
412000467 |
Plan administrator’s name |
PROVIDENCE ASSET MANAGEMENT, LLC |
Plan administrator’s
address |
8500 NORMANDALE LAKE BLVD. #1640, BLOOMINGTON, MN, 55437 |
Administrator’s telephone number |
9524017761 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
THOMAS A. SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-30 |
Name of individual signing |
THOMAS A. SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVIDENCE ASSET MANAGEMENT, LLC 401(K) PLAN
|
2010
|
412000467
|
2011-09-20
|
PROVIDENCE ASSET MANAGEMENT, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
523900
|
Sponsor’s telephone number |
9524016100
|
Plan sponsor’s mailing address |
8500 NORMANDALE LAKE BLVD., STE.1640, BLOOMINGTON, MN, 55437
|
Plan sponsor’s
address |
8500 NORMANDALE LAKE BLVD., STE.1640, BLOOMINGTON, MN, 55437
|
Plan administrator’s name and address
Administrator’s EIN |
412000467 |
Plan administrator’s name |
PROVIDENCE ASSET MANAGEMENT, LLC |
Plan administrator’s
address |
8500 NORMANDALE LAKE BLVD., STE.1640, BLOOMINGTON, MN, 55437 |
Administrator’s telephone number |
9524016100 |
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
THOMAS SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROVIDENCE ASSET MANAGEMENT, LLC 401(K) PLAN
|
2009
|
412000467
|
2010-09-14
|
PROVIDENCE ASSET MANAGEMENT, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
523900
|
Sponsor’s telephone number |
9524016100
|
Plan sponsor’s mailing address |
8500 NORMANDALE LAKE BLVD., STE.1640, BLOOMINGTON, MN, 55437
|
Plan sponsor’s
address |
8500 NORMANDALE LAKE BLVD., STE.1640, BLOOMINGTON, MN, 55437
|
Plan administrator’s name and address
Administrator’s EIN |
412000467 |
Plan administrator’s name |
PROVIDENCE ASSET MANAGEMENT, LLC |
Plan administrator’s
address |
8500 NORMANDALE LAKE BLVD., STE.1640, BLOOMINGTON, MN, 55437 |
Administrator’s telephone number |
9524016100 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
12 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-09-14 |
Name of individual signing |
THOMAS SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|