| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1967-11-14
|
| Business code |
441110
|
| Sponsor’s telephone number |
5076255641
|
| Plan sponsor’s mailing address |
PO BOX 1389, MANKATO, MN, 56001
|
| Plan sponsor’s
address |
1815 MADISON AVENUE, MANKATO, MN, 56001
|
Plan administrator’s name and address
| Administrator’s EIN |
410194670 |
| Plan administrator’s name |
F. B. CLEMENTS & COMPANY |
| Plan administrator’s
address |
PO BOX 1389, MANKATO, MN, 56001 |
| Administrator’s telephone number |
5076255641 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| 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 |
4 |
| 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 |
2010-10-15 |
| Name of individual signing |
JEANETTE BAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
