COOPERATING COMMUNITY PROGRAMS VLTD PLAN
|
2012
|
411517630
|
2014-01-21
|
COOPERATING COMMUNITY PROGRAMS
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2011-07-01
|
Business code |
621610
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan sponsor’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-01-21 |
Name of individual signing |
DEBORAH MONK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS VLTD PLAN
|
2011
|
411517630
|
2013-01-29
|
COOPERATING COMMUNITY PROGRAMS
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2011-07-01
|
Business code |
621610
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan sponsor’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-29 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS, INC. HEALTH PLAN
|
2011
|
411517630
|
2012-01-30
|
COOPERATING COMMUNITY PROGRAMS
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-04-01
|
Business code |
621610
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan sponsor’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108 |
Number of participants as of the end of the plan year
Active participants |
139 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-01-30 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS, INC. DENTAL PLAN
|
2011
|
411517630
|
2012-01-30
|
COOPERATING COMMUNITY PROGRAMS
|
104
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1993-04-01
|
Business code |
621610
|
Sponsor’s telephone number |
6516443140
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan sponsor’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108 |
Administrator’s telephone number |
6516443140 |
Number of participants as of the end of the plan year
Active participants |
103 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-01-30 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS, INC HEALTH PLAN
|
2010
|
411517630
|
2012-01-31
|
COOPERATING COMMUNITY PROGRAMS
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-04-01
|
Business code |
621610
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan sponsor’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
1295 BANDANA BLVD, #135, ST. PAUL, MN, 55108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-01-31 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS VOLUNTARY LTD PLAN
|
2010
|
411517630
|
2011-01-14
|
COOPERATING COMMUNITY PROGRAMS
|
18
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2009-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
6516443140
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
475 CLEVELAND AVENUE NORTH, #130, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
475 CLEVELAND AVENUE NORTH, #130, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
475 CLEVELAND AVENUE NORTH, #130, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516443140 |
Number of participants as of the end of the plan year
Active participants |
18 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-01-14 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS STD/LTD PLAN
|
2010
|
411517630
|
2011-01-14
|
COOPERATING COMMUNITY PROGRAMS
|
221
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2005-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
6516443140
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
475 CLEVELAND AVENUE NORTH, #130, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
475 CLEVELAND AVENUE NORTH, #130, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
475 CLEVELAND AVENUE NORTH, #130, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516443140 |
Number of participants as of the end of the plan year
Active participants |
207 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-01-14 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS SHORT AND LONG-TERM DISABILITY PLAN
|
2009
|
411517630
|
2010-01-21
|
COOPERATING COMMUNITY PROGRAMS
|
206
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2005-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
6516443140
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
475 CLEVELAND AVENUE N, #130, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
475 CLEVELAND AVENUE N, #130, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
475 CLEVELAND AVENUE N, #130, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516443140 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-01-21 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COOPERATING COMMUNITY PROGRAMS DENTAL PLAN
|
2009
|
411517630
|
2010-01-21
|
COOPERATING COMMUNITY PROGRAMS
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1993-04-01
|
Business code |
621610
|
Sponsor’s telephone number |
6516443140
|
Plan
sponsor’s DBA name |
CCP
|
Plan sponsor’s mailing address |
475 CLEVELAND AVENUE N, #130, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
475 CLEVELAND AVENUE N, #130, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411517630 |
Plan administrator’s name |
COOPERATING COMMUNITY PROGRAMS |
Plan administrator’s
address |
475 CLEVELAND AVENUE N, #130, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516443140 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-01-21 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-01-21 |
Name of individual signing |
HEIDI WOLVERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|