CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2023
|
810923572
|
2024-07-09
|
CENTRAL FARM SERVICE
|
232
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
115110
|
Sponsor’s telephone number |
5077762831
|
Plan sponsor’s mailing address |
PO BOX 68, TRUMAN, MN, 560880068
|
Plan sponsor’s
address |
233 W CIRO ST, TRUMAN, MN, 56088
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-09 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-09 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2022
|
810923572
|
2023-06-14
|
CENTRAL FARM SERVICE
|
241
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
115110
|
Sponsor’s telephone number |
5077762831
|
Plan sponsor’s mailing address |
PO BOX 68, TRUMAN, MN, 560880068
|
Plan sponsor’s
address |
233 W CIRO ST, TRUMAN, MN, 56088
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-14 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-14 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2021
|
810923572
|
2022-06-23
|
CENTRAL FARM SERVICE
|
243
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
115110
|
Sponsor’s telephone number |
5077762831
|
Plan sponsor’s mailing address |
PO BOX 68, TRUMAN, MN, 560880068
|
Plan sponsor’s
address |
233 W CIRO ST, TRUMAN, MN, 56088
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-23 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-23 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2020
|
810923572
|
2021-06-10
|
CENTRAL FARM SERVICE
|
247
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
115110
|
Sponsor’s telephone number |
5077762831
|
Plan sponsor’s mailing address |
PO BOX 68, 233 W CIRO ST, TRUMAN, MN, 560882018
|
Plan sponsor’s
address |
PO BOX 68, 233 W CIRO ST, TRUMAN, MN, 560882018
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-10 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2019
|
810923572
|
2020-06-22
|
CENTRAL FARM SERVICE
|
283
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
115110
|
Sponsor’s telephone number |
5077762831
|
Plan sponsor’s mailing address |
PO BOX 68, 233 W CIRO ST, TRUMAN, MN, 560882018
|
Plan sponsor’s
address |
PO BOX 68, 233 W CIRO ST, TRUMAN, MN, 560882018
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-22 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-22 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2018
|
810923572
|
2019-06-18
|
CENTRAL FARM SERVICE
|
359
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
115110
|
Sponsor’s telephone number |
5077762831
|
Plan sponsor’s mailing address |
PO BOX 68, TRUMAN, MN, 560880068
|
Plan sponsor’s
address |
233 W CIRO ST, TRUMAN, MN, 56088
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-18 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2017
|
810923572
|
2018-07-18
|
CENTRAL FARM SERVICE
|
382
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
115110
|
Sponsor’s telephone number |
5077762831
|
Plan sponsor’s mailing address |
PO BOX 127, CLARKS GROVE, MN, 560160127
|
Plan sponsor’s
address |
201 MAIN ST W, CLARKS GROVE, MN, 56016
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-18 |
Name of individual signing |
MERLYN KRUGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
|
2016
|
810923572
|
2017-07-11
|
CENTRAL FARM SERVICE
|
379
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-03-01
|
Business code |
111900
|
Sponsor’s telephone number |
5077761277
|
Plan sponsor’s mailing address |
PO BOX 127, CLARKS GROVE, MN, 560160127
|
Plan sponsor’s
address |
201 MAIN ST W, CLARKS GROVE, MN, 56016
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-11 |
Name of individual signing |
TODD LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-11 |
Name of individual signing |
TODD LUDWIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|