CARPETONE OF ROCHESTER 401(K) PLAN
|
2023
|
411365496
|
2024-08-29
|
CARPETOWN, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HIGHWAY 52 N., ROCHESTER, MN, 559010170
|
Signature of
Role |
Plan administrator |
Date |
2024-08-29 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2022
|
411365496
|
2023-10-16
|
CARPETOWN, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2021
|
411365496
|
2022-10-03
|
CARPETOWN, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2022-10-03 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-03 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2020
|
411365496
|
2021-10-12
|
CARPETOWN, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2019
|
411365496
|
2020-05-27
|
CARPETOWN, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2020-05-27 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2018
|
411365496
|
2019-06-03
|
CARPETOWN, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2019-06-03 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2017
|
411365496
|
2018-09-12
|
CARPETOWN, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2018-09-12 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-12 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2016
|
411365496
|
2017-05-19
|
CARPETOWN, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2017-05-19 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2015
|
411365496
|
2016-07-13
|
CARPETOWN, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2016-07-13 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARPETONE OF ROCHESTER 401(K) PLAN
|
2014
|
411365496
|
2015-07-30
|
CARPETOWN, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
5072823434
|
Plan sponsor’s
address |
5139 HWY 52 NORTH, ROCHESTER, MN, 55901
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
DARREN GROTEBOER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|