FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
830342872
|
2024-07-30
|
FORMACOAT LLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
2960 CHASKA BLVD, CHASKA, MN, 553182285
|
Signature of
Role |
Plan administrator |
Date |
2024-07-30 |
Name of individual signing |
KATHERYN JENDERSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
830342872
|
2023-07-31
|
FORMACOAT LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
2960 CHASKA BLVD, CHASKA, MN, 553182285
|
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
KATHERYN JENDERSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
830342872
|
2022-07-26
|
FORMACOAT LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
2960 CHASKA BLVD, CHASKA, MN, 553182285
|
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
KATHERYN JENDERSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
830342872
|
2021-07-20
|
FORMACOAT LLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
2960 CHASKA BLVD, CHASKA, MN, 553182285
|
Signature of
Role |
Plan administrator |
Date |
2021-07-20 |
Name of individual signing |
TONYA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
830342872
|
2020-07-14
|
FORMACOAT LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
12500 ZINRAN AVENUE, SAVAGE, MN, 55378
|
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
TONYA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
830342872
|
2019-07-18
|
FORMACOAT LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
12500 ZINRAN AVENUE, SAVAGE, MN, 55378
|
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
TONYA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
830342872
|
2018-07-19
|
FORMACOAT LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
12500 ZINRAN AVENUE, SAVAGE, MN, 55378
|
Signature of
Role |
Plan administrator |
Date |
2018-07-19 |
Name of individual signing |
TONYA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
830342872
|
2017-07-12
|
FORMACOAT LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
12500 ZINRAN AVENUE, SAVAGE, MN, 55378
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
TONYA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
830342872
|
2016-07-13
|
FORMACOAT LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
12500 ZINRAN AVENUE, SAVAGE, MN, 55378
|
Signature of
Role |
Plan administrator |
Date |
2016-07-13 |
Name of individual signing |
TONYA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
830342872
|
2015-06-22
|
FORMACOAT LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9529053684
|
Plan sponsor’s
address |
12500 ZINRAN AVENUE, SAVAGE, MN, 55378
|
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
NATALIE EIDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-22 |
Name of individual signing |
MARK GROSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|