|
DUBORE FUNERAL HOME SAFE HARBOR PLAN
|
2023
|
410957651
|
2024-07-11
|
QUANRUD FUNERAL HOME, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-09-01
|
| Business code |
812210
|
| Sponsor’s telephone number |
2187454281
|
| Plan
sponsor’s DBA name |
DBA DUBORE FUNERAL HOME
|
| Plan sponsor’s
address |
424 W WENTZEL AVE., WARREN, MN, 56762
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-11 |
| Name of individual signing |
MICHELLE SENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DUBORE FUNERAL HOME SAFE HARBOR PLAN
|
2022
|
410957651
|
2023-08-14
|
QUANRUD FUNERAL HOME, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-09-01
|
| Business code |
812210
|
| Sponsor’s telephone number |
2187454281
|
| Plan
sponsor’s DBA name |
DBA DUBORE FUNERAL HOME
|
| Plan sponsor’s
address |
424 W WENTZEL AVE., WARREN, MN, 56762
|
Signature of
| Role |
Plan administrator |
| Date |
2023-08-14 |
| Name of individual signing |
MICHELLE SENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DUBORE FUNERAL HOME SAFE HARBOR PLAN
|
2021
|
410957651
|
2022-09-29
|
QUANRUD FUNERAL HOME, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-09-01
|
| Business code |
812210
|
| Sponsor’s telephone number |
2187454281
|
| Plan
sponsor’s DBA name |
DBA DUBORE FUNERAL HOME
|
| Plan sponsor’s
address |
424 W WENTZEL AVE., WARREN, MN, 56762
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-29 |
| Name of individual signing |
MICHELLE SENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DUBORE FUNERAL HOME SAFE-HARBOR 401(K) PLAN
|
2018
|
410957651
|
2019-10-08
|
QUANRUD FUNERAL HOME, INC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-09-01
|
| Business code |
812210
|
| Plan
sponsor’s DBA name |
DUBORE FUNERAL HOME
|
| Plan sponsor’s
address |
424 W WENTZEL AVE, WARREN, MN, 567621445
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-07 |
| Name of individual signing |
MICHAEL DUBORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-10-07 |
| Name of individual signing |
MICHAEL DUBORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DUBORE FUNERAL HOME SAFE-HARBOR 401(K) PLAN
|
2017
|
410957651
|
2018-05-22
|
QUANRUD FUNERAL HOME, INC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-09-01
|
| Business code |
812210
|
| Sponsor’s telephone number |
2187454281
|
| Plan sponsor’s
address |
424 W WENTZEL AVENUE, WARREN, MN, 56762
|
Signature of
| Role |
Plan administrator |
| Date |
2018-05-21 |
| Name of individual signing |
MICHAEL DUBORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-05-21 |
| Name of individual signing |
MICHAEL DUBORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
