|
CROSSROAD CONSTRUCTION 401(K) PLAN
|
2023
|
411981609
|
2024-05-07
|
CROSSROAD CONSTRUCTION, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
236200
|
| Sponsor’s telephone number |
7634340202
|
| Plan sponsor’s
address |
17121 LINCOLN STREET NE, STE 100, HAM LAKE, MN, 55304
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-07 |
| Name of individual signing |
SHAWN NIZNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROSSROAD CONSTRUCTION 401(K) PLAN
|
2022
|
411981609
|
2023-06-07
|
CROSSROAD CONSTRUCTION, INC.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
236200
|
| Sponsor’s telephone number |
7634340202
|
| Plan sponsor’s
address |
17121 LINCOLN STREET NE, STE 100, HAM LAKE, MN, 55304
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-07 |
| Name of individual signing |
SHAWN NIZNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROSSROAD CONSTRUCTION 401(K) PLAN
|
2021
|
411981609
|
2022-06-21
|
CROSSROAD CONSTRUCTION, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
236200
|
| Sponsor’s telephone number |
7634340202
|
| Plan sponsor’s
address |
17121 LINCOLN STREET NE, STE 100, HAM LAKE, MN, 55304
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-21 |
| Name of individual signing |
SHAWN NIZNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROSSROAD CONSTRUCTION 401(K) PLAN
|
2020
|
411981609
|
2021-06-28
|
CROSSROAD CONSTRUCTION, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
236200
|
| Sponsor’s telephone number |
7634340202
|
| Plan sponsor’s
address |
17121 LINCOLN STREET NE, STE 100, HAM LAKE, MN, 55304
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-28 |
| Name of individual signing |
SHAWN NIZNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROSSROAD CONSTRUCTION 401(K) PLAN
|
2019
|
411981609
|
2020-05-18
|
CROSSROAD CONSTRUCTION, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
236200
|
| Sponsor’s telephone number |
7634340202
|
| Plan sponsor’s
address |
17121 LINCOLN STREET NE, STE 100, HAM LAKE, MN, 55304
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-18 |
| Name of individual signing |
SHAWN NIZNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROSSROAD CONSTRUCTION 401(K) PLAN
|
2018
|
411981609
|
2019-06-03
|
CROSSROAD CONSTRUCTION, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
236200
|
| Plan sponsor’s
address |
1232 171ST LANE NE SUITE 200, HAM LAKE, MN, 55304
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-03 |
| Name of individual signing |
MR. SHAWN NIZNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
