ANDERSON DAHLEN EMPLOYEE BENEFIT PLAN
|
2016
|
411315319
|
2017-08-01
|
ANDERSON DAHLEN
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524700
|
Plan
sponsor’s DBA name |
ANDERSON DAHLEN
|
Plan sponsor’s mailing address |
6850 SUNWOOD DR NW, RAMSEY, MN, 553033601
|
Plan sponsor’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 553033601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN EMPLOYEE BENEFIT PLAN
|
2015
|
411315319
|
2016-07-25
|
ANDERSON DAHLEN
|
176
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524745
|
Plan sponsor’s mailing address |
6850 SUNWOOD DR NW, RAMSEY, MN, 553033601
|
Plan sponsor’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 553033601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-24 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-24 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN EMPLOYEE BENEFIT PLAN
|
2014
|
411315319
|
2015-07-16
|
ANDERSON DAHLEN
|
157
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524745
|
Plan
sponsor’s DBA name |
ANDERSON DAHLEN
|
Plan sponsor’s mailing address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-16 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-16 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN EMPLOYEE BENEFIT PLAN
|
2013
|
411315319
|
2014-07-08
|
ANDERSON DAHLEN
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524700
|
Plan
sponsor’s DBA name |
ANDERSON DAHLEN
|
Plan sponsor’s mailing address |
6850 SUNWOOD, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD, RAMSEY, MN, 55303
|
Number of participants as of the end of the plan year
Active participants |
157 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN EMPLOYEE BENEFIT PLAN
|
2011
|
411315319
|
2012-07-31
|
ANDERSON DAHLEN
|
127
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Plan sponsor’s mailing address |
6850 SUNWOOD, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD, RAMSEY, MN, 55303
|
Plan administrator’s name and address
Administrator’s EIN |
411315319 |
Plan administrator’s name |
ANDERSON DAHLEN |
Plan administrator’s
address |
6850 SUNWOOD, RAMSEY, MN, 55303 |
Number of participants as of the end of the plan year
Active participants |
130 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN EMPLOYEE BENEFIT PLAN
|
2010
|
411315319
|
2011-09-30
|
ANDERSON DAHLEN
|
127
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524700
|
Plan sponsor’s mailing address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303
|
Plan administrator’s name and address
Administrator’s EIN |
411315319 |
Plan administrator’s name |
ANDERSON DAHLEN |
Plan administrator’s
address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303 |
Administrator’s telephone number |
7638524700 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN
|
2009
|
411315319
|
2010-03-09
|
ANDERSON DAHLEN
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524729
|
Plan sponsor’s mailing address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303
|
Plan administrator’s name and address
Administrator’s EIN |
411315319 |
Plan administrator’s name |
ANDERSON DAHLEN |
Plan administrator’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303 |
Administrator’s telephone number |
7638524729 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-03-09 |
Name of individual signing |
DAVID HEGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN INC 401 K & PROFIT SHARING PLAN
|
2009
|
411315319
|
2010-03-05
|
ANDERSON DAHLEN
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
332300
|
Sponsor’s telephone number |
7638524729
|
Plan sponsor’s mailing address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303
|
Plan administrator’s name and address
Administrator’s EIN |
411315319 |
Plan administrator’s name |
ANDERSON DAHLEN |
Plan administrator’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303 |
Administrator’s telephone number |
7638524729 |
Number of participants as of the end of the plan year
Active participants |
144 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
16 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
148 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-05 |
Name of individual signing |
DAVID HEGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN
|
2009
|
411315319
|
2010-07-28
|
ANDERSON DAHLEN
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524745
|
Plan
sponsor’s DBA name |
ANDERSON DAHLEN
|
Plan sponsor’s mailing address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303
|
Plan administrator’s name and address
Administrator’s EIN |
411315319 |
Plan administrator’s name |
ANDERSON DAHLEN |
Plan administrator’s
address |
6850 SUNWOOD DRIVE, RAMSEY, MN, 55303 |
Administrator’s telephone number |
7638524745 |
Number of participants as of the end of the plan year
Active participants |
121 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
PATTY BRUCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDERSON DAHLEN INC
|
2009
|
411315319
|
2010-03-09
|
ANDERSON DAHLEN
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
7638524729
|
Plan sponsor’s mailing address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303
|
Plan sponsor’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303
|
Plan administrator’s name and address
Administrator’s EIN |
411315319 |
Plan administrator’s name |
ANDERSON DAHLEN |
Plan administrator’s
address |
6850 SUNWOOD DR NW, RAMSEY, MN, 55303 |
Administrator’s telephone number |
7638524729 |
Number of participants as of the end of the plan year
Active participants |
101 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2010-03-09 |
Name of individual signing |
DAVID HEGMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|