CHANDLER INDUSTIRES, INC. MEDICAL PLAN
|
2011
|
411556024
|
2012-10-01
|
CHANDLER INDUSTRIES, INC.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2003-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
3202698893
|
Plan sponsor’s mailing address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265
|
Plan sponsor’s
address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265
|
Plan administrator’s name and address
Administrator’s EIN |
411556024 |
Plan administrator’s name |
CHANDLER INDUSTRIES, INC. |
Plan administrator’s
address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265 |
Administrator’s telephone number |
3202698893 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
DONALD ALTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANDLER INDUSTRIES, INC. MEDICAL PLAN
|
2010
|
411556024
|
2011-09-09
|
CHANDLER INDUSTRIES, INC.
|
214
|
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2003-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
3202698893
|
Plan sponsor’s mailing address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265
|
Plan sponsor’s
address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265
|
Plan administrator’s name and address
Administrator’s EIN |
411556024 |
Plan administrator’s name |
CHANDLER INDUSTRIES, INC. |
Plan administrator’s
address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265 |
Administrator’s telephone number |
3202698893 |
Number of participants as of the end of the plan year
Active participants |
95 |
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 |
Employer/plan sponsor |
Date |
2011-09-09 |
Name of individual signing |
DONALD ALTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANDLER INDUSTRIES, INC. MEDICAL PLAN
|
2010
|
411556024
|
2011-09-12
|
CHANDLER INDUSTRIES, INC.
|
214
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2003-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
3202698893
|
Plan sponsor’s mailing address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265
|
Plan sponsor’s
address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265
|
Plan administrator’s name and address
Administrator’s EIN |
411556024 |
Plan administrator’s name |
CHANDLER INDUSTRIES, INC. |
Plan administrator’s
address |
1654 NORTH 9TH STREET, MONTEVIDEO, MN, 56265 |
Administrator’s telephone number |
3202698893 |
Number of participants as of the end of the plan year
Active participants |
95 |
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 |
2011-09-12 |
Name of individual signing |
DONALD ALTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHANDLER INDUSTRIES, INC. MEDICAL PLAN
|
2009
|
411556024
|
2010-10-29
|
CHANDLER INDUSTRIES, INC.
|
213
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2003-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
3202698893
|
Plan sponsor’s mailing address |
1654 NORTH 97TH STREET, MONTEVIDEO, MN, 56265
|
Plan sponsor’s
address |
1654 NORTH 97TH STREET, MONTEVIDEO, MN, 56265
|
Plan administrator’s name and address
Administrator’s EIN |
411556024 |
Plan administrator’s name |
CHANDLER INDUSTRIES, INC. |
Plan administrator’s
address |
1654 NORTH 97TH STREET, MONTEVIDEO, MN, 56265 |
Administrator’s telephone number |
3202698893 |
Number of participants as of the end of the plan year
Active participants |
214 |
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 |
2010-10-29 |
Name of individual signing |
DONALD ALTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|