LIFE INSURANCE PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2023
|
411458571
|
2024-07-16
|
JACOBS MANAGEMENT CORPORATION
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
DANIEL ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-16 |
Name of individual signing |
DANIEL ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2022
|
411458571
|
2023-07-25
|
JACOBS MANAGEMENT CORPORATION
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-25 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-25 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2021
|
411458571
|
2022-07-19
|
JACOBS MANAGEMENT CORPORATION
|
185
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-19 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2021
|
411458571
|
2022-07-19
|
JACOBS MANAGEMENT CORPORATION
|
232
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-19 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2020
|
411458571
|
2021-07-28
|
JACOBS MANAGEMENT CORPORATION
|
421
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2020
|
411458571
|
2021-07-28
|
JACOBS MANAGEMENT CORPORATION
|
509
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2019
|
411458571
|
2020-07-29
|
JACOBS MANAGEMENT CORPORATION
|
666
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2019
|
411458571
|
2020-07-29
|
JACOBS MANAGEMENT CORPORATION
|
526
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN FOR THE EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2018
|
411458571
|
2019-09-19
|
JACOBS MANAGEMENT CORPORATION
|
510
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan
sponsor’s DBA name |
JACOBS MANAGEMENT CORPORATION
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 55343
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-19 |
Name of individual signing |
GARY JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-19 |
Name of individual signing |
GARY JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN FOR EMPLOYEES OF JACOBS MANAGEMENT CORPORATION
|
2017
|
411458571
|
2018-07-18
|
JACOBS MANAGEMENT CORPORATION
|
702
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2007-07-01
|
Business code |
541600
|
Sponsor’s telephone number |
6123399500
|
Plan
sponsor’s DBA name |
1963
|
Plan sponsor’s mailing address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Plan sponsor’s
address |
8096 EXCELSIOR BLVD, HOPKINS, MN, 553433415
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-18 |
Name of individual signing |
DAVID MAHLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|