INTEGRITY RESTORATION 401(K) PLAN
|
2023
|
411736736
|
2024-02-15
|
INTEGRITY RESTORATION, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2024-02-15 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-02-15 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2022
|
411736736
|
2023-02-02
|
INTEGRITY RESTORATION, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2023-02-01 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-02-01 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2021
|
411736736
|
2022-01-25
|
INTEGRITY RESTORATION, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2022-01-24 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-01-24 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2020
|
411736736
|
2021-07-29
|
INTEGRITY RESTORATION, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2019
|
411736736
|
2020-06-21
|
INTEGRITY RESTORATION, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2020-06-15 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-15 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2018
|
411736736
|
2019-06-06
|
INTEGRITY RESTORATION, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2019-06-06 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-06 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2017
|
411736736
|
2018-06-08
|
INTEGRITY RESTORATION, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2018-06-08 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-08 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2016
|
411736736
|
2017-05-11
|
INTEGRITY RESTORATION, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2017-05-11 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-11 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2015
|
411736736
|
2016-06-02
|
INTEGRITY RESTORATION, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
7635060200
|
Plan sponsor’s
address |
6360 SUNFISH LAKE CT NW, RAMSEY, MN, 55303
|
Signature of
Role |
Plan administrator |
Date |
2016-06-02 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-02 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRITY RESTORATION 401(K) PLAN
|
2014
|
411736736
|
2015-07-10
|
INTEGRITY RESTORATION, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-03-01
|
Business code |
236110
|
Sponsor’s telephone number |
3208456080
|
Plan sponsor’s
address |
209 COUNTY ROAD 156, ALBANY, MN, 56307
|
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-10 |
Name of individual signing |
ROGER DOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|