EBENEZER SOCIETY 401(K) PROFIT SHARING PLAN
|
2012
|
410706141
|
2013-11-07
|
EBENEZER SOCIETY
|
280
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743489
|
Plan sponsor’s mailing address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55454
|
Number of participants as of the end of the plan year
Active participants |
227 |
Retired or separated participants receiving
benefits |
63 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2013-10-31 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER SOCIETY 401(K) PROFIT SHARING PLAN
|
2012
|
410706141
|
2013-10-31
|
EBENEZER SOCIETY
|
280
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743489
|
Plan sponsor’s mailing address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55454
|
Number of participants as of the end of the plan year
Active participants |
227 |
Retired or separated participants receiving
benefits |
63 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2013-10-31 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER SOCIETY 401(K) PROFIT SHARING PLAN
|
2012
|
410706141
|
2013-10-09
|
EBENEZER SOCIETY
|
280
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743489
|
Plan sponsor’s mailing address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55454
|
Number of participants as of the end of the plan year
Active participants |
227 |
Retired or separated participants receiving
benefits |
63 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER SOCIETY 403(B) THRIFT PLAN
|
2012
|
410706141
|
2013-10-09
|
EBENEZER SOCIETY
|
198
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743489
|
Plan sponsor’s mailing address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Number of participants as of the end of the plan year
Active participants |
165 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
12 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER SOCIETY CAFETERIA PLAN
|
2012
|
410706141
|
2013-07-10
|
EBENEZER SOCIETY
|
2024
|
|
File |
View Page
|
Three-digit plan number (PN) |
523
|
Effective date of plan |
2010-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743844
|
Plan sponsor’s mailing address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVENUE S, MINNEAPOLIS, MN, 55407
|
Plan administrator’s name and address
Administrator’s EIN |
410706141 |
Plan administrator’s name |
EBENEZER SOCIETY |
Plan administrator’s
address |
2722 PARK AVENUE S, MINNEAPOLIS, MN, 55407 |
Administrator’s telephone number |
6128743844 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER TERM LIFE AND OPTIONAL PLAN
|
2012
|
410706141
|
2013-07-08
|
EBENEZER SOCIETY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743744
|
Plan sponsor’s mailing address |
2722 PARK AVENUE S, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVENUE S, MINNEAPOLIS, MN, 55407
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN
|
2012
|
410706141
|
2013-07-08
|
EBENEZER SOCIETY
|
759
|
|
File |
View Page
|
Three-digit plan number (PN) |
526
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743744
|
Plan sponsor’s mailing address |
2722 PARK AVE, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVE, MINNEAPOLIS, MN, 55407
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER EMPLOYEE MEDICAL PLAN
|
2012
|
410706141
|
2013-07-08
|
EBENEZER SOCIETY
|
1083
|
|
File |
View Page
|
Three-digit plan number (PN) |
525
|
Effective date of plan |
2010-01-01
|
Business code |
623000
|
Plan sponsor’s mailing address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55454
|
Plan sponsor’s
address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55407
|
Plan administrator’s name and address
Administrator’s EIN |
410706141 |
Plan administrator’s name |
EBENEZER SOCIETY |
Plan administrator’s
address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55454 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-08 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER SOCIETY EMPLOYEE LONG TERM DISABILITY PLAN
|
2011
|
410706141
|
2012-11-02
|
EBENEZER SOCIETY
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
526
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743744
|
Plan sponsor’s mailing address |
2722 PARK AVE, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVE, MINNEAPOLIS, MN, 55407
|
Plan administrator’s name and address
Administrator’s EIN |
410706141 |
Plan administrator’s name |
EBENEZER SOCIETY |
Plan administrator’s
address |
2722 PARK AVE, MINNEAPOLIS, MN, 55407 |
Administrator’s telephone number |
6128743744 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
PAULA PHILLIPPE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EBENEZER SOCIETY 403(B) THRIFT PLAN
|
2011
|
410706141
|
2012-10-16
|
EBENEZER SOCIETY
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6128743489
|
Plan sponsor’s mailing address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Plan sponsor’s
address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407
|
Plan administrator’s name and address
Administrator’s EIN |
410706141 |
Plan administrator’s name |
EBENEZER SOCIETY |
Plan administrator’s
address |
2722 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55407 |
Administrator’s telephone number |
6128743489 |
Number of participants as of the end of the plan year
Active participants |
154 |
Retired or separated participants receiving
benefits |
43 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MARY SWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|