KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2018
|
411736264
|
2019-12-18
|
KUCHERA INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6515923645
|
Plan sponsor’s
address |
7681 N. BLACKWELL CT., INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2019-12-18 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2018
|
411736264
|
2019-07-25
|
KUCHERA INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6515923645
|
Plan sponsor’s
address |
7681 N BLACKWELL CT., INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-25 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2017
|
411736264
|
2018-09-12
|
KUCHERA INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2018-09-12 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-12 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2016
|
411736264
|
2017-08-15
|
KUCHERA INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2017-08-15 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2015
|
411736264
|
2016-09-07
|
KUCHERA INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLA
|
2014
|
411736264
|
2015-09-10
|
KUCHERA INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2015-09-09 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2013
|
411736264
|
2014-09-05
|
KUCHERA INSURANCE AGENCY, INC.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2014-09-05 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-05 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2013
|
411736264
|
2014-09-09
|
KUCHERA INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2014-09-09 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-09 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2012
|
411736264
|
2013-07-09
|
KUCHERA INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-09 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KUCHERA INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2011
|
411736264
|
2012-06-20
|
KUCHERA INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6514572216
|
Plan sponsor’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076
|
Plan administrator’s name and address
Administrator’s EIN |
411736264 |
Plan administrator’s name |
KUCHERA INSURANCE AGENCY, INC. |
Plan administrator’s
address |
5778 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN, 55076 |
Administrator’s telephone number |
6514572216 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-20 |
Name of individual signing |
DOUGLAS KUCHERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|