|
CARPETIME, INC. DBA BLOOMINTON CARPET ONE 401(K) PLAN
|
2015
|
411631922
|
2016-06-27
|
CARPETIME, INC.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
9526980832
|
| Plan sponsor’s
address |
503 AMERICAN BLVD. WEST, BLOOMINGTON, MN, 55420
|
Signature of
| Role |
Plan administrator |
| Date |
2016-06-27 |
| Name of individual signing |
KEITH CARLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARPETIME, INC. DBA BLOOMINTON CARPET ONE 401(K) PLAN
|
2014
|
411631922
|
2015-09-10
|
CARPETIME, INC.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
9526980832
|
| Plan
sponsor’s DBA name |
BLOOMINGTON CARPET ONE
|
| Plan sponsor’s
address |
503 AMERICAN BLVD. WEST, BLOOMINGTON, MN, 55420
|
Signature of
| Role |
Plan administrator |
| Date |
2015-09-10 |
| Name of individual signing |
TAMARA LANGE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARPETIME, INC. DBA BLOOMINTON CARPET ONE 401(K) PLAN
|
2013
|
411631922
|
2014-07-16
|
CARPETIME, INC.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
9528816970
|
| Plan
sponsor’s DBA name |
BLOOMINGTON CARPET ONE
|
| Plan sponsor’s
address |
503 AMERICAN BLVD., BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
| Administrator’s EIN |
411631922 |
| Plan administrator’s name |
CARPETIME, INC. |
| Plan administrator’s
address |
503 AMERICAN BLVD., BLOOMINGTON, MN, 55420 |
| Administrator’s telephone number |
9528816970 |
Signature of
| Role |
Plan administrator |
| Date |
2014-07-16 |
| Name of individual signing |
KEITH CARLSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARPETIME, INC. DBA BLOOMINTON CARPET ONE 401(K) PLAN
|
2012
|
411631922
|
2013-07-31
|
CARPETIME, INC.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
9528816970
|
| Plan
sponsor’s DBA name |
BLOOMINGTON CARPET ONE
|
| Plan sponsor’s
address |
503 AMERICAN BLVD., BLOOMINGTON, MN, 55420
|
Plan administrator’s name and address
| Administrator’s EIN |
411631922 |
| Plan administrator’s name |
CARPETIME, INC. |
| Plan administrator’s
address |
503 AMERICAN BLVD., BLOOMINGTON, MN, 55420 |
| Administrator’s telephone number |
9528816970 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-31 |
| Name of individual signing |
TAMARA LANGE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
