DIANE M. BLOEM PROFIT SHARING PLAN
|
2017
|
411820938
|
2018-03-16
|
DIANE M. BLOEM REAL ESTATE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
|
DIANE M. BLOEM PROFIT SHARING PLAN
|
2016
|
411820938
|
2017-03-24
|
DIANE M. BLOEM REAL ESTATE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2017-03-22 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-22 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM PROFIT SHARING PLAN
|
2015
|
411820938
|
2016-05-02
|
DIANE M. BLOEM REAL ESTATE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2016-05-02 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM PROFIT SHARING PLAN
|
2014
|
411820938
|
2015-03-24
|
DIANE M. BLOEM REAL ESTATE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2015-03-24 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-24 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM PROFIT SHARING PLAN
|
2013
|
411820938
|
2014-07-14
|
DIANE M. BLOEM REAL ESTATE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2014-07-14 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-14 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM PROFIT SHARING PLAN
|
2012
|
411820938
|
2013-04-08
|
DIANE M. BLOEM REAL ESTATE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Signature of
Role |
Plan administrator |
Date |
2013-03-19 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-19 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM PROFIT SHARING PLAN
|
2011
|
411820938
|
2012-06-11
|
DIANE M. BLOEM REAL ESTATE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
411820938 |
Plan administrator’s name |
DIANE M. BLOEM REAL ESTATE, INC. |
Plan administrator’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435 |
Administrator’s telephone number |
9529461700 |
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-11 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM PROFIT SHARING PLAN
|
2010
|
411820938
|
2011-06-08
|
DIANE M. BLOEM REAL ESTATE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
411820938 |
Plan administrator’s name |
DIANE M. BLOEM REAL ESTATE, INC. |
Plan administrator’s
address |
7550 FRANCE AVENUE SOUTH, EDINA, MN, 55435 |
Administrator’s telephone number |
9529461700 |
Signature of
Role |
Plan administrator |
Date |
2011-06-08 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-08 |
Name of individual signing |
DIANE BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM REAL ESTATE, INC. DEFINED BENEFIT PLAN
|
2010
|
411820938
|
2011-04-20
|
DIANE M. BLOEM REAL ESTATE, INC.
|
1
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVE SOUTH, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
411820938 |
Plan administrator’s name |
DIANE M. BLOEM REAL ESTATE, INC. |
Plan administrator’s
address |
7550 FRANCE AVE SOUTH, EDINA, MN, 55435 |
Administrator’s telephone number |
9529461700 |
Signature of
Role |
Plan administrator |
Date |
2011-04-20 |
Name of individual signing |
DIANE M. BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-20 |
Name of individual signing |
DIANE M BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIANE M. BLOEM REAL ESTATE, INC. DEFINED BENEFIT PLAN
|
2010
|
411820938
|
2011-06-08
|
DIANE M. BLOEM REAL ESTATE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9529461700
|
Plan sponsor’s
address |
7550 FRANCE AVE SOUTH, EDINA, MN, 55435
|
Plan administrator’s name and address
Administrator’s EIN |
411820938 |
Plan administrator’s name |
DIANE M. BLOEM REAL ESTATE, INC. |
Plan administrator’s
address |
7550 FRANCE AVE SOUTH, EDINA, MN, 55435 |
Administrator’s telephone number |
9529461700 |
Signature of
Role |
Plan administrator |
Date |
2011-04-20 |
Name of individual signing |
DIANE M. BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-20 |
Name of individual signing |
DIANE M BLOEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|