MEDICA INSURANCE COMPANY
|
2023
|
731673656
|
2024-07-15
|
EAGLE RIDGE ACADEMY
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9527467760
|
Plan sponsor’s mailing address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Plan sponsor’s
address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN LIFE INSURANCE COMPANY
|
2023
|
731673656
|
2024-07-15
|
EAGLE RIDGE ACADEMY
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2022-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9527467760
|
Plan sponsor’s mailing address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Plan sponsor’s
address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN LIFE INSURANCE COMPANY
|
2022
|
731673656
|
2023-06-28
|
EAGLE RIDGE ACADEMY
|
197
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2022-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9527467760
|
Plan sponsor’s mailing address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Plan sponsor’s
address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICA INSURANCE COMPANY
|
2022
|
731673656
|
2023-06-28
|
EAGLE RIDGE ACADEMY
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9527467760
|
Plan sponsor’s mailing address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Plan sponsor’s
address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNLIFE
|
2021
|
731673656
|
2022-06-13
|
EAGLE RIDGE ACADEMY
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9527467760
|
Plan sponsor’s mailing address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Plan sponsor’s
address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICA INSURANCE COMPANY
|
2021
|
731673656
|
2022-06-13
|
EAGLE RIDGE ACADEMY
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9527467760
|
Plan sponsor’s mailing address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Plan sponsor’s
address |
11111 BREN RD W, MINNETONKA, MN, 553439015
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
KARI LYON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|