MILLER & STEVENS, P.A. 401(K) PLAN
|
2023
|
411897358
|
2024-06-24
|
MILLER & STEVENS, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6514620206
|
Plan sponsor’s
address |
92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2024-06-21 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-21 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLER & STEVENS, P.A. 401(K) PLAN
|
2022
|
411897358
|
2023-05-16
|
MILLER & STEVENS, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6514620206
|
Plan sponsor’s
address |
92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2023-05-16 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-16 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLER & STEVENS, P.A. 401(K) PLAN
|
2021
|
411897358
|
2022-05-16
|
MILLER & STEVENS, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6514620206
|
Plan sponsor’s
address |
92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2022-05-05 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-05 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLER & STEVENS, P.A. 401(K) PLAN
|
2020
|
411897358
|
2021-04-28
|
MILLER & STEVENS, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6514620206
|
Plan sponsor’s
address |
92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-28 |
Name of individual signing |
AMBER STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLER & STEVENS, P.A. 401(K) PLAN
|
2019
|
411897358
|
2020-06-15
|
MILLER & STEVENS, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6514620206
|
Plan sponsor’s
address |
92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2020-06-12 |
Name of individual signing |
JEREMY V STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-12 |
Name of individual signing |
JEREMY V STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLER & STEVENS, P. A. 401(K) PLAN
|
2018
|
411897358
|
2019-06-12
|
MILLER & STEVENS, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6514620206
|
Plan sponsor’s
address |
92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2019-06-12 |
Name of individual signing |
JEREMY V STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILLER & STEVENS, P. A. 401(K) PLAN
|
2017
|
411897358
|
2018-07-06
|
MILLER & STEVENS, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6514620206
|
Plan sponsor’s
address |
92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
JEREMY V STEVENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|