PREFERREDONE DENTAL
|
2022
|
411269067
|
2024-08-22
|
HOLADAY CIRCUITS, INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
118 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-08-22 |
Name of individual signing |
ANETTE TRECKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERREDONE INSURANCE COMPANY
|
2022
|
411269067
|
2023-07-31
|
HOLADAY CIRCUITS, INC.
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
116 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERREDONE DENTAL
|
2022
|
411269067
|
2023-07-31
|
HOLADAY CIRCUITS, INC.
|
90
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
118 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HARTFORD
|
2022
|
411269067
|
2023-07-31
|
HOLADAY CIRCUITS, INC.
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2022-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
131 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERREDONE INSURANCE COMPANY
|
2021
|
411269067
|
2022-07-28
|
HOLADAY CIRCUITS, INC.
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
126 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HARTFORD
|
2019
|
411269067
|
2020-07-28
|
HOLADAY CIRCUITS, INC.
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2019-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
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 |
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERREDONE INSURANCE COMPANY
|
2019
|
411269067
|
2020-07-28
|
HOLADAY CIRCUITS, INC.
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
153 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERREDONE DENTAL
|
2019
|
411269067
|
2020-07-28
|
HOLADAY CIRCUITS, INC
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2019-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD MEDICAL
|
2018
|
411269067
|
2019-07-30
|
HOLADAY CIRCUITS, INC.
|
141
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
149 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERRED ONE DENTAL
|
2018
|
411269067
|
2019-07-30
|
HOLADAY CIRCUITS, INC
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2018-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
153 |
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 |
2019-07-30 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|