CROW WING COOPERATIVE POWER AND LIGHT LIFE INSURANCE BENEFIT PLAN
|
2013
|
410208552
|
2014-07-29
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-01-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
17330 STATE HWY 371 NORTH, BRAINERD, MN, 56401
|
Number of participants as of the end of the plan year
Active participants |
110 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
STEVEN SMOLKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT GROUP DENTAL BENEFIT PLAN
|
2013
|
410208552
|
2014-07-29
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1986-01-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
17330 STATE HWY 371 NORTH, BRAINERD, MN, 56401
|
Number of participants as of the end of the plan year
Active participants |
111 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
STEVEN SMOLKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT LIFE INSURANCE BENEFIT PLAN
|
2012
|
410208552
|
2013-07-29
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-01-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
17330 STATE HIGHWAY 371 NO, BRAINERD, MN, 56401
|
Number of participants as of the end of the plan year
Active participants |
115 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
STEVEN SMOLKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT LIFE INSURANCE BENEFIT PLAN
|
2011
|
410208552
|
2012-07-27
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-01-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
17330 STATE HIGHWAY 371 NO, BRAINERD, MN, 56401
|
Plan administrator’s name and address
Administrator’s EIN |
410208552 |
Plan administrator’s name |
CROW WING COOPERATIVE POWER AND LIGHT COMPANY |
Plan administrator’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401 |
Administrator’s telephone number |
2188292827 |
Number of participants as of the end of the plan year
Active participants |
120 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
STEVEN SMOLKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT GROUP HEALTH PLAN
|
2011
|
410208552
|
2012-07-27
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
17330 STATE HIGHWAY 371 NO, BRAINERD, MN, 56401
|
Plan administrator’s name and address
Administrator’s EIN |
410208552 |
Plan administrator’s name |
CROW WING COOPERATIVE POWER AND LIGHT COMPANY |
Plan administrator’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401 |
Administrator’s telephone number |
2188292827 |
Number of participants as of the end of the plan year
Active participants |
120 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
STEVEN SMOLKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT GROUP HEALTH PLAN
|
2010
|
410208552
|
2012-01-27
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507, HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
PO BOX 507, HWY 371 NO, BRAINERD, MN, 56401
|
Plan administrator’s name and address
Administrator’s EIN |
410208552 |
Plan administrator’s name |
CROW WING COOPERATIVE POWER AND LIGHT COMPANY |
Plan administrator’s
address |
PO BOX 507, HWY 371 NO, BRAINERD, MN, 56401 |
Administrator’s telephone number |
2188292827 |
Number of participants as of the end of the plan year
Active participants |
123 |
Retired or separated participants receiving
benefits |
10 |
Signature of
Role |
Plan administrator |
Date |
2012-01-27 |
Name of individual signing |
DONALD NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-27 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT LIFE INSURANCE BENEFIT PLAN
|
2010
|
410208552
|
2011-06-10
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
125
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-01-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
17330 STATE HIGHWAY 371 NO, BRAINERD, MN, 56401
|
Plan administrator’s name and address
Administrator’s EIN |
410208552 |
Plan administrator’s name |
CROW WING COOPERATIVE POWER AND LIGHT COMPANY |
Plan administrator’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401 |
Administrator’s telephone number |
2188292827 |
Number of participants as of the end of the plan year
Active participants |
121 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
DONALD NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-10 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT GROUP DENTAL BENEFIT PLAN
|
2010
|
410208552
|
2011-06-10
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
127
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1986-01-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
17330 STATE HWY 371 NO, BRAINERD, MN, 56401
|
Plan administrator’s name and address
Administrator’s EIN |
410208552 |
Plan administrator’s name |
CROW WING COOPERATIVE POWER AND LIGHT COMPANY |
Plan administrator’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401 |
Administrator’s telephone number |
2188292827 |
Number of participants as of the end of the plan year
Active participants |
122 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
DONALD NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-10 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT GROUP HEALTH PLAN
|
2009
|
410208552
|
2011-01-31
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan
sponsor’s DBA name |
CROW WING POWER
|
Plan sponsor’s mailing address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan administrator’s name and address
Administrator’s EIN |
410208552 |
Plan administrator’s name |
CROW WING COOPERATIVE POWER AND LIGHT COMPANY |
Plan administrator’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401 |
Administrator’s telephone number |
2188292827 |
Number of participants as of the end of the plan year
Active participants |
126 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2011-01-31 |
Name of individual signing |
DONALD NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-31 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CROW WING COOPERATIVE POWER AND LIGHT LIFE INSURANCE BENEFIT PLAN
|
2009
|
410208552
|
2010-07-21
|
CROW WING COOPERATIVE POWER AND LIGHT COMPANY
|
124
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2000-01-01
|
Business code |
221100
|
Sponsor’s telephone number |
2188292827
|
Plan sponsor’s mailing address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan sponsor’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401
|
Plan administrator’s name and address
Administrator’s EIN |
410208552 |
Plan administrator’s name |
CROW WING COOPERATIVE POWER AND LIGHT COMPANY |
Plan administrator’s
address |
PO BOX 507 HWY 371 NO, BRAINERD, MN, 56401 |
Administrator’s telephone number |
2188292827 |
Number of participants as of the end of the plan year
Active participants |
125 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
DONALD NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
BRUCE KRAEMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|