SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2021
|
410696908
|
2022-05-24
|
SHATTUCK-ST. MARY'S SCHOOL
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073331613
|
Plan sponsor’s
address |
1000 SHUMWAY AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2022-05-24 |
Name of individual signing |
SCOTT RYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-24 |
Name of individual signing |
SCOTT RYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2017
|
410696908
|
2018-10-15
|
SHATTUCK-ST. MARY'S SCHOOL
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073331613
|
Plan sponsor’s
address |
1000 SHUMWAY AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
SCOTT RYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
SCOTT RYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2016
|
410696908
|
2017-10-03
|
SHATTUCK-ST. MARY'S SCHOOL
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073331613
|
Plan sponsor’s
address |
1000 SHUMWAY AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
LINDA M. LAUGHLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-03 |
Name of individual signing |
LINDA M. LAUGHLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2015
|
410696908
|
2017-02-22
|
SHATTUCK-ST. MARY'S SCHOOL
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073331613
|
Plan sponsor’s
address |
1000 SHUMWAY AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2017-02-22 |
Name of individual signing |
LINDA M. LAUGHLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-22 |
Name of individual signing |
LINDA M. LAUGHLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2014
|
410696908
|
2017-02-22
|
SHATTUCK-ST. MARY'S SCHOOL
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073331613
|
Plan sponsor’s
address |
1000 SHUMWAY AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2017-02-22 |
Name of individual signing |
LINDA M. LAUGHLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-22 |
Name of individual signing |
LINDA M. LAUGHLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2013
|
410696908
|
2014-06-18
|
SHATTUCK-ST MARY'S SCHOOL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073346466
|
Plan sponsor’s
address |
PO BOX 218, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2014-05-12 |
Name of individual signing |
DAVID ROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2012
|
410696908
|
2013-05-07
|
SHATTUCK-ST MARY'S SCHOOL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073346466
|
Plan sponsor’s
address |
PO BOX 218, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
DAVID ROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL DEFINED CONTRIBUTION RETIREMENT PLAN
|
2011
|
410696908
|
2012-10-12
|
SHATTUCK-ST MARY'S SCHOOL
|
281
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073331500
|
Plan sponsor’s mailing address |
PO BOX 218, FARIBAULT, MN, 55021
|
Plan sponsor’s
address |
PO BOX 218, FARIBAULT, MN, 55021
|
Plan administrator’s name and address
Administrator’s EIN |
410696908 |
Plan administrator’s name |
SHATTUCK-ST MARY'S SCHOOL |
Plan administrator’s
address |
PO BOX 218, FARIBAULT, MN, 55021 |
Administrator’s telephone number |
5073331500 |
Number of participants as of the end of the plan year
Active participants |
256 |
Other
retired or separated participants entitled to future benefits |
49 |
Number of
participants
with
account balances as of the end of the plan year |
290 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DAVID ROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL TAX DEFERRED ANNUITY PLAN
|
2011
|
410696908
|
2012-01-14
|
SHATTUCK-ST MARY'S SCHOOL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073346466
|
Plan sponsor’s
address |
PO BOX 218, FARIBAULT, MN, 55021
|
Plan administrator’s name and address
Administrator’s EIN |
410696908 |
Plan administrator’s name |
SHATTUCK-ST MARY'S SCHOOL |
Plan administrator’s
address |
PO BOX 218, FARIBAULT, MN, 55021 |
Administrator’s telephone number |
5073346466 |
Signature of
Role |
Plan administrator |
Date |
2012-01-31 |
Name of individual signing |
DAVID ROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHATTUCK-ST MARY'S SCHOOL DEFINED CONTRIBUTION RETIREMENT PLAN
|
2010
|
410696908
|
2011-10-14
|
SHATTUCK-ST MARY'S SCHOOL
|
275
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
5073346460
|
Plan sponsor’s mailing address |
PO BOX 218, FARIBAULT, MN, 55021
|
Plan sponsor’s
address |
PO BOX 218, FARIBAULT, MN, 55021
|
Plan administrator’s name and address
Administrator’s EIN |
410696908 |
Plan administrator’s name |
SHATTUCK-ST MARY'S SCHOOL |
Plan administrator’s
address |
PO BOX 218, FARIBAULT, MN, 55021 |
Administrator’s telephone number |
5073346460 |
Number of participants as of the end of the plan year
Active participants |
236 |
Other
retired or separated participants entitled to future benefits |
45 |
Number of
participants
with
account balances as of the end of the plan year |
271 |
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 |
2011-10-15 |
Name of individual signing |
DAVID ROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|