MERCHANTS FINANCIAL GROUP HEALTH PLAN
|
2011
|
411504721
|
2012-06-26
|
MERCHANTS FINANCIAL GROUP
|
244
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-12-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan sponsor’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP |
Plan administrator’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Active participants |
241 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
ALBERTA A ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERCHANTS FINANCIAL GROUP DENTAL PLAN
|
2011
|
411504721
|
2012-06-26
|
MERCHANTS FINANCIAL GROUP
|
253
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-09-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan sponsor’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP |
Plan administrator’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Active participants |
246 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
ALBERTA A ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERCHANTS FINANCIAL GROUP HEALTH PLAN
|
2010
|
411504721
|
2011-06-02
|
MERCHANTS FINANCIAL GROUP
|
235
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-12-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan sponsor’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP |
Plan administrator’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Active participants |
239 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
ALBERTA ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERCHANTS FINANCIAL GROUP DENTAL PLAN
|
2010
|
411504721
|
2011-06-02
|
MERCHANTS FINANCIAL GROUP
|
246
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-09-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan sponsor’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP |
Plan administrator’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Active participants |
249 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2011-06-01 |
Name of individual signing |
ALBERTA ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERCHANTS FINANCIAL GROUP, INC. LONG TERM DISABILITY INCOME PLAN
|
2009
|
411504721
|
2010-12-09
|
MERCHANTS FINANCIAL GROUP, INC.
|
289
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-04-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
P O BOX 248, 102 EAST THIRD STREET, WINONA, MN, 55987
|
Plan sponsor’s
address |
P O BOX 248, 102 EAST THIRD STREET, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP, INC. |
Plan administrator’s
address |
P O BOX 248, 102 EAST THIRD STREET, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-12-09 |
Name of individual signing |
ALBERTA ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERCHANTS FINANCIAL GROUP INC. BASE LIFE/AD&D
|
2009
|
411504721
|
2010-12-09
|
MERCHANTS FINANCIAL GROUP INC.
|
296
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1988-12-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
P O BOX 248, 102 EAST THIRD STREET, WINONA, MN, 55987
|
Plan sponsor’s
address |
P O BOX 248, 102 EAST THIRD STREET, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP INC. |
Plan administrator’s
address |
P O BOX 248, 102 EAST THIRD STREET, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Active participants |
303 |
Retired or separated participants receiving
benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2010-12-09 |
Name of individual signing |
ALBERTA ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERCHANTS FINANCIAL GROUP DENTAL PLAN
|
2009
|
411504721
|
2010-07-14
|
MERCHANTS FINANCIAL GROUP
|
247
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-09-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan sponsor’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP |
Plan administrator’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Active participants |
241 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
ALBERTA ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERCHANTS FINANCIAL GROUP HEALTH PLAN
|
2009
|
411504721
|
2010-07-14
|
MERCHANTS FINANCIAL GROUP
|
230
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-12-01
|
Business code |
551111
|
Sponsor’s telephone number |
5074571100
|
Plan sponsor’s mailing address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan sponsor’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987
|
Plan administrator’s name and address
Administrator’s EIN |
411504721 |
Plan administrator’s name |
MERCHANTS FINANCIAL GROUP |
Plan administrator’s
address |
102 EAST THIRD STREET, P O BOX 248, WINONA, MN, 55987 |
Administrator’s telephone number |
5074571100 |
Number of participants as of the end of the plan year
Active participants |
230 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
ALBERTA ROSBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|