|
AGENCY 128 INC
|
2011
|
912100145
|
2012-07-13
|
AGENCY 128, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
3206564183
|
| Plan
sponsor’s DBA name |
SAME
|
| Plan sponsor’s
address |
14 7TH AVE N, ST. CLOUD, MN, 56303
|
Plan administrator’s name and address
| Administrator’s EIN |
912100145 |
| Plan administrator’s name |
AGENCY 128, INC. |
| Plan administrator’s
address |
14 7TH AVE N, ST. CLOUD, MN, 56303 |
| Administrator’s telephone number |
3206564183 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-13 |
| Name of individual signing |
DEBBI DIERKHISING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AGENCY 128 INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
912100145
|
2011-07-25
|
AGENCY 128 INC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
3206564183
|
| Plan sponsor’s
address |
14 N 7TH AVE, 14 N 7TH AVE, SAINT CLOUD, MN, 563034766
|
Plan administrator’s name and address
| Administrator’s EIN |
912100145 |
| Plan administrator’s name |
AGENCY 128 INC |
| Plan administrator’s
address |
14 N 7TH AVE, 14 N 7TH AVE, SAINT CLOUD, MN, 563034766 |
| Administrator’s telephone number |
3206564183 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-25 |
| Name of individual signing |
AGENCY 128 INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AGENCY 128 INC
|
2009
|
912100145
|
2010-10-13
|
AGENCY 128 INC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
3206564183
|
| Plan sponsor’s
address |
14 N 7TH AVE, SAINT CLOUD, MN, 563034766
|
Plan administrator’s name and address
| Administrator’s EIN |
912100145 |
| Plan administrator’s name |
AGENCY 128 INC |
| Plan administrator’s
address |
14 N 7TH AVE, SAINT CLOUD, MN, 563034766 |
| Administrator’s telephone number |
3206564183 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
AGENCY 128 INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
