FEY INDUSTRIES, INC. LIFE INSURANCE PLAN
|
2023
|
411471888
|
2024-07-30
|
FEY INDUSTRIES, INC.
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
162 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2024-07-30 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-30 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. HEALTH INSURANCE PLAN
|
2023
|
411471888
|
2024-07-31
|
FEY INDUSTRIES, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2019-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
102 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. VISION INSURANCE PLAN
|
2023
|
411471888
|
2024-07-30
|
FEY INDUSTRIES, INC.
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2022-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-30 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-30 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. HEALTH INSURANCE PLAN
|
2022
|
411471888
|
2023-07-31
|
FEY INDUSTRIES, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2019-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
105 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. LIFE INSURANCE PLAN
|
2022
|
411471888
|
2023-07-31
|
FEY INDUSTRIES, INC.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
167 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. VISION INSURANCE PLAN
|
2022
|
411471888
|
2023-07-31
|
FEY INDUSTRIES, INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2022-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
73 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. VISION INSURANCE PLAN
|
2021
|
411471888
|
2022-07-22
|
FEY INDUSTRIES, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2021-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
50 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-22 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. HEALTH INSURANCE PLAN
|
2021
|
411471888
|
2022-07-22
|
FEY INDUSTRIES, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2019-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
77 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-22 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. LIFE INSURANCE PLAN
|
2021
|
411471888
|
2022-07-22
|
FEY INDUSTRIES, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Active participants |
172 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-22 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FEY INDUSTRIES, INC. LIFE INSURANCE PLAN
|
2020
|
411471888
|
2021-04-23
|
FEY INDUSTRIES, INC.
|
151
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
5074424311
|
Plan sponsor’s mailing address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Plan sponsor’s
address |
200 4TH AVE N, EDGERTON, MN, 561281286
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-04-23 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-23 |
Name of individual signing |
MICHAEL FEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|