|
BREEN'S 401(K) PLAN
|
2021
|
411975260
|
2022-10-07
|
BREEN'S PHARMACY, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3208424221
|
| Plan sponsor’s
address |
1207 PACIFIC AVE., BENSON, MN, 56215
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-07 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-10-07 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BREEN'S 401(K) PLAN
|
2020
|
411975260
|
2021-06-08
|
BREEN'S PHARMACY
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3208424221
|
| Plan sponsor’s
address |
1207 PACIFIC AVE., BENSON, MN, 56215
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-08 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BREEN'S 401(K) PLAN
|
2019
|
411975260
|
2020-08-18
|
BREEN'S PHARMACY
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3208424221
|
| Plan sponsor’s
address |
1207 PACIFIC AVE., BENSON, MN, 56215
|
Signature of
| Role |
Plan administrator |
| Date |
2020-08-18 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BREEN'S 401(K) PLAN
|
2018
|
411975260
|
2019-06-10
|
BREEN'S PHARMACY
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3208424221
|
| Plan sponsor’s
address |
1207 PACIFIC AVE., BENSON, MN, 56215
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-10 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-06-10 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BREEN'S 401(K) PLAN
|
2017
|
411975260
|
2018-07-17
|
BREEN'S PHARMACY
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3208424221
|
| Plan sponsor’s
address |
1207 PACIFIC AVE., BENSON, MN, 56215
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-17 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-07-17 |
| Name of individual signing |
LAREE BREEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
