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  5. Select Surfaces LLC

Select Surfaces LLC

Company Details

Name: Select Surfaces LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 23 Apr 2019 (6 years ago)
Company Number: f0c461ee-dc65-e911-9172-00155d01b32c
File Number: 1081881200027
Registered Office Address: 1224 2nd St N, Stillwater, MN 55082, USA
ZIP code: 55082
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SELECT SURFACES 401(K) RETIREMENT PLAN 2016 411863385 2017-07-10 SELECT SURFACES 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 2800 FAIRVIEW AVE, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing JEREMY OTTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing JEREMY OTTEN
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2016 411863385 2017-07-10 SELECT SURFACES 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 2800 FAIRVIEW AVE, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing BARB THILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing BARB THILL
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2015 411863385 2016-06-28 SELECT SURFACES 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 2800 FAIRVIEW AVE, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing BARB THILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing BARB THILL
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2014 411863385 2015-07-14 SELECT SURFACES 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2013 411863385 2014-07-30 SELECT SURFACES 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2012 411863385 2014-07-30 SELECT SURFACES 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2011 411863385 2014-07-30 SELECT SURFACES 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514

Plan administrator’s name and address
Administrator’s EIN 411863385
Plan administrator’s name SELECT SURFACES
Plan administrator’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514
Administrator’s telephone number 6514831576

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2010 411863385 2011-07-31 SELECT SURFACES 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514

Plan administrator’s name and address
Administrator’s EIN 411863385
Plan administrator’s name SELECT SURFACES
Plan administrator’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514
Administrator’s telephone number 6514831576

Signature of
Role Plan administrator
Date 2011-07-31
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-31
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
SELECT SURFACES 401(K) RETIREMENT PLAN 2009 411863385 2010-07-27 SELECT SURFACES 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 238900
Sponsor’s telephone number 6514831576
Plan sponsor’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514

Plan administrator’s name and address
Administrator’s EIN 411863385
Plan administrator’s name SELECT SURFACES
Plan administrator’s address 1718A LEXINGTON AVE N, ROSEVILLE, MN, 551136514
Administrator’s telephone number 6514831576

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing DUANE STEEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
Michael T Mellgren Agent

Filing

Filing Name Filing date
Administrative Termination - Limited Liability Company (Domestic) 2021-02-18
Original Filing - Limited Liability Company (Domestic) (Business Name: Select Surfaces LLC) 2019-04-23

Related by officers

Michael T Mellgren

Koryu-Karate of Ryukyu Kempo Tode Jitsu

Related by address

1224 2nd St N, Stillwater, MN 55082, USA

SELECT HARDWOODS LLC

Date of last update: 08 Oct 2024

Sources: Minnesota's Official State Website

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