CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2023
|
043684414
|
2024-03-07
|
CARLSON MCCAIN, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2024-03-07 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-03-07 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2022
|
043684414
|
2023-04-14
|
CARLSON MCCAIN, INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2023-04-14 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-14 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2021
|
043684414
|
2022-04-19
|
CARLSON MCCAIN, INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2022-04-19 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-19 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2020
|
043684414
|
2021-02-15
|
CARLSON MCCAIN, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2021-02-15 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-15 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2019
|
043684414
|
2020-03-02
|
CARLSON MCCAIN, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2020-03-02 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-02 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2018
|
043684414
|
2019-02-20
|
CARLSON MCCAIN, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2019-02-20 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-20 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2017
|
043684414
|
2018-02-21
|
CARLSON MCCAIN, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2018-02-21 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-02-21 |
Name of individual signing |
JOHN PLAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2016
|
043684414
|
2017-02-24
|
CARLSON MCCAIN, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2017-02-24 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-24 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2015
|
043684414
|
2016-07-11
|
CARLSON MCCAIN, INC.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897900
|
Plan sponsor’s
address |
3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-11 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN
|
2014
|
043684414
|
2015-07-15
|
CARLSON MCCAIN, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-05-29
|
Business code |
541330
|
Sponsor’s telephone number |
7634897925
|
Plan sponsor’s
address |
248 APOLLO DR, LINO LAKES, MN, 55014
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
DAWN MEYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|