COLD SPRING GRANITE COMPANY VISION CARE PLAN
|
2023
|
410197900
|
2024-10-11
|
COLD SPRING GRANITE COMPANY
|
601
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
2019-01-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan
sponsor’s DBA name |
COLDSPRING
|
Plan sponsor’s mailing address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Plan sponsor’s
address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING GRANITE COMPANY LONG TERM DISABILITY INSURANCE PLAN
|
2023
|
410197900
|
2024-10-11
|
COLD SPRING GRANITE COMPANY
|
466
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2001-01-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan
sponsor’s DBA name |
COLDSPRING
|
Plan sponsor’s mailing address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Plan sponsor’s
address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING GRANITE DENTAL PLAN
|
2023
|
410197900
|
2024-10-11
|
COLD SPRING GRANITE COMPANY
|
444
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
2011-01-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan sponsor’s mailing address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Plan sponsor’s
address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Number of participants as of the end of the plan year
Active participants |
553 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING GRANITE COMPANY GROUP TERM LIFE INSURANCE PLAN
|
2023
|
410197900
|
2024-10-11
|
COLD SPRING GRANITE COMPANY
|
982
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
1993-11-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan
sponsor’s DBA name |
COLDSPRING
|
Plan sponsor’s mailing address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Plan sponsor’s
address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING EMPLOYEE BENEFIT PLAN
|
2023
|
410197900
|
2024-10-11
|
COLD SPRING GRANITE COMPANY
|
573
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
1993-04-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan sponsor’s mailing address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Plan sponsor’s
address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Number of participants as of the end of the plan year
Active participants |
553 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING GRANITE COMPANY VISION CARE PLAN
|
2022
|
410197900
|
2023-10-10
|
COLD SPRING GRANITE COMPANY
|
596
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
2019-01-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan
sponsor’s DBA name |
COLDSPRING
|
Plan sponsor’s mailing address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Plan sponsor’s
address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING GRANITE COMPANY GROUP TERM LIFE INSURANCE PLAN
|
2022
|
410197900
|
2023-10-10
|
COLD SPRING GRANITE COMPANY
|
999
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
1993-11-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan
sponsor’s DBA name |
COLDSPRING
|
Plan sponsor’s mailing address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Plan sponsor’s
address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING GRANITE DENTAL PLAN
|
2022
|
410197900
|
2023-10-10
|
COLD SPRING GRANITE COMPANY
|
436
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
2011-01-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan sponsor’s mailing address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Plan sponsor’s
address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Number of participants as of the end of the plan year
Active participants |
444 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING GRANITE COMPANY LONG TERM DISABILITY INSURANCE PLAN
|
2022
|
410197900
|
2023-10-10
|
COLD SPRING GRANITE COMPANY
|
481
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2001-01-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan
sponsor’s DBA name |
COLDSPRING
|
Plan sponsor’s mailing address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Plan sponsor’s
address |
17482 GRANITE WEST RD, COLD SPRING, MN, 563204578
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLD SPRING EMPLOYEE BENEFIT PLAN
|
2022
|
410197900
|
2023-10-10
|
COLD SPRING GRANITE COMPANY
|
555
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
1993-04-01
|
Business code |
212310
|
Sponsor’s telephone number |
3206853621
|
Plan sponsor’s mailing address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Plan sponsor’s
address |
17482 GRANITE WEST ROAD, COLD SPRING, MN, 56320
|
Number of participants as of the end of the plan year
Active participants |
573 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
KELLY KIFFMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|