JOHANNESONS INC. - HEALTH & SUPPLEMENTAL PLAN
|
2011
|
410880953
|
2012-09-04
|
JOHANNESON'S, INC.
|
261
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s mailing address |
P.O. BOX 608, BEMIDJI, MN, 56619
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Plan administrator’s
address |
P.O. BOX 608, BEMIDJI, MN, 56619 |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESONS INC. - HEALTH & SUPPLEMENTAL PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
322
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESONS INC. - HEALTH & SUPPLEMENTAL PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
245
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESON'S INC. - HELATH & SUPPLEMENTAL PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
275
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s mailing address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Plan administrator’s
address |
PO BOX 608, BEMIDJI, MN, 56619 |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESONS INC. - HEALTH & SUPPLEMENTAL PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
313
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESONS INC. - HEALTH & SUPPLEMENTAL PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
292
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s mailing address |
P.O. BOX 608, BEMIDJI, MN, 56619
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Plan administrator’s
address |
P.O. BOX 608, BEMIDJI, MN, 56619 |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESON'S INC. LIFE & AD&D PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESON'S INC. LIFE & AD&D PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESON'S INC. LIFE & AD&D PLAN
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s
address |
P.O. BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHANNESON'S INC. LIFE & AD&D
|
2010
|
410880953
|
2011-08-30
|
JOHANNESON'S, INC.
|
303
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-02-01
|
Business code |
445110
|
Sponsor’s telephone number |
2187519644
|
Plan sponsor’s
address |
PO BOX 608, BEMIDJI, MN, 56619
|
Plan administrator’s name and address
Administrator’s EIN |
410880953 |
Plan administrator’s name |
JOHANNESON'S, INC. |
Administrator’s telephone number |
2187519644 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEITH JOHANNESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|