L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
411301573
|
2024-07-08
|
L.S. BLACK CONSTRUCTORS, INC.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, SUITE 140, SAINT PAUL, MN, 55117
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES LLC |
Plan administrator’s
address |
PO BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
8557115283 |
Signature of
Role |
Plan administrator |
Date |
2024-07-08 |
Name of individual signing |
ERIC QUELLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
411301573
|
2024-07-08
|
L.S. BLACK CONSTRUCTORS, INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, SUITE 140, ST. PAUL, MN, 55117
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES LLC |
Plan administrator’s
address |
PO BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
8557115283 |
Signature of
Role |
Plan administrator |
Date |
2024-07-08 |
Name of individual signing |
ERIC QUELLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
411301573
|
2023-07-14
|
L.S. BLACK CONSTRUCTORS, INC.
|
91
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, SUITE 140, ST. PAUL, MN, 55117
|
Signature of
Role |
Plan administrator |
Date |
2023-07-14 |
Name of individual signing |
STERLING BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
411301573
|
2022-07-14
|
L.S. BLACK CONSTRUCTORS, INC.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, ST. PAUL, MN, 55117
|
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
STERLING BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
411301573
|
2021-07-14
|
L.S. BLACK CONSTRUCTORS, INC.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, ST. PAUL, MN, 55117
|
Signature of
Role |
Plan administrator |
Date |
2021-07-14 |
Name of individual signing |
STERLING BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
411301573
|
2020-07-10
|
L.S. BLACK CONSTRUCTORS, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, ST. PAUL, MN, 55117
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
SHIRLEY BONAWITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
411301573
|
2019-07-12
|
L.S. BLACK CONSTRUCTORS, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, ST. PAUL, MN, 55117
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
411301573
|
2018-07-10
|
L.S. BLACK CONSTRUCTORS, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, ST. PAUL, MN, 55117
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
411301573
|
2017-07-11
|
L.S. BLACK CONSTRUCTORS, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, ST. PAUL, MN, 55117
|
|
L.S. BLACK CONSTRUCTORS, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
411301573
|
2016-06-27
|
L.S. BLACK CONSTRUCTORS, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
6517748445
|
Plan sponsor’s
address |
1959 SLOAN PLACE, ST. PAUL, MN, 55117
|
Signature of
Role |
Plan administrator |
Date |
2016-06-27 |
Name of individual signing |
STERLING BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-27 |
Name of individual signing |
STERLING BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|