CARDINAL OF MINNESOTA, LTD PREMIUM ONLY PLAN
|
2019
|
411786446
|
2021-04-15
|
CARDINAL OF MINNESOTA, LTD
|
264
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
5072811077
|
Plan sponsor’s mailing address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan sponsor’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Number of participants as of the end of the plan year
Active participants |
262 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-04-15 |
Name of individual signing |
KRISTINE CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARDINAL OF MINNESOTA, LTD PREMIUM ONLY PLAN
|
2018
|
411786446
|
2020-07-15
|
CARDINAL OF MINNESOTA, LTD
|
160
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
621610
|
Sponsor’s telephone number |
5072811077
|
Plan sponsor’s mailing address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan sponsor’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Number of participants as of the end of the plan year
Active participants |
264 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
KRISTINE CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARDINAL OF MINNESOTA, LTD PREMIUM ONLY PLAN
|
2017
|
411786446
|
2019-05-03
|
CARDINAL OF MINNESOTA, LTD
|
186
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
621610
|
Plan sponsor’s mailing address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan sponsor’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan administrator’s name and address
Administrator’s EIN |
411786446 |
Plan administrator’s name |
CARDINAL OF MINNESOTA, LTD |
Plan administrator’s
address |
3008 WELLNER DRIVE NE, ROCHESER, MN, 55906 |
Administrator’s telephone number |
5072811077 |
Number of participants as of the end of the plan year
Active participants |
160 |
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 |
2019-04-30 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-30 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARDINAL OF MINNESOTA, LTD PREMIUM ONLY PLAN
|
2017
|
411786446
|
2019-05-02
|
CARDINAL OF MINNESOTA, LTD
|
186
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
621610
|
Plan sponsor’s mailing address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan sponsor’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan administrator’s name and address
Plan administrator’s name |
KRISTINE CHLADEK |
Plan administrator’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906 |
Administrator’s telephone number |
5072811077 |
Number of participants as of the end of the plan year
Active participants |
160 |
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 |
2019-04-30 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-30 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARDINAL OF MINNESOTA, LTD PREMIUM ONLY PLAN
|
2017
|
411786446
|
2019-05-02
|
CARDINAL OF MINNESOTA, LTD
|
186
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
621610
|
Plan sponsor’s mailing address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan sponsor’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan administrator’s name and address
Plan administrator’s name |
KRISTINE CHLADEK |
Plan administrator’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906 |
Administrator’s telephone number |
5072811077 |
Number of participants as of the end of the plan year
Active participants |
160 |
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 |
2019-04-30 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-30 |
Name of individual signing |
CARDINAL OF MINNESOTA, LTD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARDINAL OF MINNESOTA, LTD PREMIUM ONLY PLAN
|
2017
|
411786446
|
2019-05-01
|
CARDINAL OF MINNESOTA, LTD
|
178
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
621610
|
Plan sponsor’s mailing address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan sponsor’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan administrator’s name and address
Plan administrator’s name |
KRISTINE CHLADEK |
Plan administrator’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906 |
Administrator’s telephone number |
5072811077 |
Number of participants as of the end of the plan year
Active participants |
160 |
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 |
2019-04-30 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-30 |
Name of individual signing |
CARDINAL OF MINNESOTA, LTD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARDINAL OF MINNESOTA, LTD PREMIUM ONLY PLAN
|
2016
|
411786446
|
2018-04-27
|
CARDINAL OF MINNESOTA, LTD
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-07-01
|
Business code |
621610
|
Plan sponsor’s mailing address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Plan sponsor’s
address |
3008 WELLNER DRIVE NE, ROCHESTER, MN, 55906
|
Number of participants as of the end of the plan year
Active participants |
186 |
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 |
2018-04-26 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-26 |
Name of individual signing |
KRISTINE A CHLADEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|