POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2023
|
411742542
|
2024-07-11
|
POWERBLOCK, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
9526532611
|
Plan sponsor’s
address |
14255 SOUTHCROSS DRIVE WEST, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2024-07-11 |
Name of individual signing |
JAN NAVRATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2022
|
411742542
|
2023-07-06
|
POWERBLOCK, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
9526532611
|
Plan sponsor’s
address |
14255 SOUTHCROSS DRIVE WEST, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
CHAD CARROLL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2021
|
411742542
|
2022-10-13
|
POWERBLOCK, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
14255 SOUTHCROSS DRIVE WEST, BURNSVILLE, MN, 55306
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
NOAH FUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2020
|
411742542
|
2021-06-15
|
POWERBLOCK, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829
|
Signature of
Role |
Plan administrator |
Date |
2021-06-15 |
Name of individual signing |
NOAH FUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2019
|
411742542
|
2020-10-08
|
POWERBLOCK, INC.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
NOAH FUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2018
|
411742542
|
2019-09-30
|
POWERBLOCK, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829
|
Plan administrator’s name and address
Administrator’s EIN |
411742542 |
Plan administrator’s name |
POWERBLOCK, INC. |
Plan administrator’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829 |
Administrator’s telephone number |
5074515152 |
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
NOAH FUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2017
|
411742542
|
2018-10-11
|
POWERBLOCK, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829
|
Plan administrator’s name and address
Administrator’s EIN |
411742542 |
Plan administrator’s name |
POWERBLOCK, INC. |
Plan administrator’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829 |
Administrator’s telephone number |
5074515152 |
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
NOAH FUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2016
|
411742542
|
2017-05-22
|
POWERBLOCK, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829
|
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
RICHARD E. GROSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2015
|
411742542
|
2016-06-23
|
POWERBLOCK, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829
|
Plan administrator’s name and address
Administrator’s EIN |
411742542 |
Plan administrator’s name |
POWERBLOCK, INC. |
Plan administrator’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829 |
Administrator’s telephone number |
5074515152 |
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
RICHARD E. GROSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POWERBLOCK, INC. RETIREMENT PLAN & TRUST
|
2014
|
411742542
|
2015-07-20
|
POWERBLOCK, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
5074515152
|
Plan sponsor’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829
|
Plan administrator’s name and address
Administrator’s EIN |
411742542 |
Plan administrator’s name |
POWERBLOCK, INC. |
Plan administrator’s
address |
1071 32ND AVENUE NW, OWATONNA, MN, 550604829 |
Administrator’s telephone number |
5074515152 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
CARL K. TOWLEY III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|