|
HARSTAD MOTIVATION, INC. PROFIT SHARING PLAN
|
2009
|
411757214
|
2011-01-10
|
HARSTAD MOTIVATION, INC.
|
2
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-02-01
|
| Business code |
424990
|
| Sponsor’s telephone number |
9524737495
|
| Plan sponsor’s
address |
4550 WOLVERTON PLACE, MAPLE PLAIN, MN, 55359
|
Plan administrator’s name and address
| Administrator’s EIN |
411757214 |
| Plan administrator’s name |
HARSTAD MOTIVATION, INC. |
| Plan administrator’s
address |
4550 WOLVERTON PLACE, MAPLE PLAIN, MN, 553599410 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-12-30 |
| Name of individual signing |
JAMES L HARSTAD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-12-30 |
| Name of individual signing |
JAMES L HARSTAD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARSTAD MOTIVATION, INC. PROFIT SHARING PLAN
|
2009
|
411757214
|
2011-01-10
|
HARSTAD MOTIVATION, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-02-01
|
| Business code |
424990
|
| Sponsor’s telephone number |
9524737495
|
| Plan sponsor’s
address |
4550 WOLVERTON PLACE, MAPLE PLAIN, MN, 55359
|
Plan administrator’s name and address
| Administrator’s EIN |
411757214 |
| Plan administrator’s name |
HARSTAD MOTIVATION, INC. |
| Plan administrator’s
address |
4550 WOLVERTON PLACE, MAPLE PLAIN, MN, 553599410 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-12-30 |
| Name of individual signing |
JAMES L HARSTAD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-12-30 |
| Name of individual signing |
JAMES L HARSTAD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
