MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2022
|
820510976
|
2024-07-31
|
MICKELSEN CONSTRUCTION, INC.
|
91
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
DELWYN MICKELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2021
|
820510976
|
2023-04-06
|
MICKELSEN CONSTRUCTION, INC.
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2023-04-06 |
Name of individual signing |
DELWYN MICKELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2020
|
820510976
|
2021-12-10
|
MICKELSEN CONSTRUCTION, INC.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2021-12-10 |
Name of individual signing |
ROBBIE AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-12-10 |
Name of individual signing |
ROBBIE AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2019
|
820510976
|
2021-01-19
|
MICKELSEN CONSTRUCTION, INC.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2021-01-19 |
Name of individual signing |
SAMANTHA NEWBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2018
|
820510976
|
2020-02-06
|
MICKELSEN CONSTRUCTION, INC.
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2020-02-06 |
Name of individual signing |
SAMANTHA NEWBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2017
|
820510976
|
2019-04-29
|
MICKELSEN CONSTRUCTION, INC.
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2019-04-29 |
Name of individual signing |
APRIL WALDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-29 |
Name of individual signing |
APRIL WALDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2016
|
820510976
|
2018-03-15
|
MICKELSEN CONSTRUCTION, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2018-03-15 |
Name of individual signing |
APRIL WALDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-15 |
Name of individual signing |
APRIL WALDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2015
|
820510976
|
2017-04-03
|
MICKELSEN CONSTRUCTION, INC.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2017-04-03 |
Name of individual signing |
APRIL WALDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-03 |
Name of individual signing |
APRIL WALDRON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC. 401(K) PLAN
|
2014
|
820510976
|
2016-05-13
|
MICKELSEN CONSTRUCTION, INC.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2016-05-12 |
Name of individual signing |
ZANE MICKELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-12 |
Name of individual signing |
ZANE MICKELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICKELSEN CONSTRUCTION, INC.
|
2013
|
820510976
|
2014-12-08
|
MICKELSEN CONSTRUCTION, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-11-01
|
Business code |
237310
|
Sponsor’s telephone number |
2086843803
|
Plan sponsor’s
address |
76 N. 550 W., BLACKFOOT, ID, 83221
|
Signature of
Role |
Plan administrator |
Date |
2014-12-05 |
Name of individual signing |
ZANE MICKELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-05 |
Name of individual signing |
ZANE MICKELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|