NORTH CENTRAL SERVICE, INC. VOLUNTARY DENTAL INSURANCE
|
2023
|
411330323
|
2024-07-22
|
NORTH CENTRAL SERVICE INC
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2022-04-01
|
Business code |
237100
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s mailing address |
PO BOX 310, BEMIDJI, MN, 566190310
|
Plan sponsor’s
address |
5487 HART LANE NW, PO BOX 310, BEMIDJI, MN, 56601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
JACOB WICKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-22 |
Name of individual signing |
JACOB WICKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
411330323
|
2024-10-02
|
NORTH CENTRAL SERVICE, INC.
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
5487 HART LANE NW, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2024-10-02 |
Name of individual signing |
JACOB WICKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
411330323
|
2023-07-31
|
NORTH CENTRAL SERVICE, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
5487 HART LANE NW, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
JACOB WICKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
411330323
|
2022-03-22
|
NORTH CENTRAL SERVICE, INC.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
P.O. BOX 310, BEMIDJI, MN, 56619
|
Signature of
Role |
Plan administrator |
Date |
2022-03-22 |
Name of individual signing |
GLEN LINDSETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
411330323
|
2021-06-28
|
NORTH CENTRAL SERVICE, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
P.O. BOX 310, BEMIDJI, MN, 56619
|
Signature of
Role |
Plan administrator |
Date |
2021-06-28 |
Name of individual signing |
GLEN LINDSETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
411330323
|
2020-05-21
|
NORTH CENTRAL SERVICE, INC.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
P.O. BOX 310, BEMIDJI, MN, 56619
|
Signature of
Role |
Plan administrator |
Date |
2020-05-21 |
Name of individual signing |
GLEN LINDSETH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
411330323
|
2017-06-26
|
NORTH CENTRAL SERVICE, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
P.O. BOX 310, BEMIDJI, MN, 56619
|
Signature of
Role |
Plan administrator |
Date |
2017-06-26 |
Name of individual signing |
PRISCILLA JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
411330323
|
2016-07-18
|
NORTH CENTRAL SERVICE, INC.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
5487 HART LANE NW, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
PRISCILLA JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
411330323
|
2015-06-22
|
NORTH CENTRAL SERVICE, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
5487 HART LANE NW, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
PRISCILLA JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH CENTRAL SERVICE, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
411330323
|
2014-07-24
|
NORTH CENTRAL SERVICE, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-04-01
|
Business code |
238900
|
Sponsor’s telephone number |
2184443855
|
Plan sponsor’s
address |
5487 HART LANE NW, BEMIDJI, MN, 56601
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
PRISCILLA JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|