CCRI HEALTH PLAN
|
2023
|
411294489
|
2024-06-26
|
CCRI INC
|
189
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2007-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s mailing address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Plan sponsor’s
address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-26 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-26 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CCRI LIFE & DENTAL PLAN
|
2023
|
411294489
|
2024-06-27
|
CCRI INC
|
211
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s mailing address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Plan sponsor’s
address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-27 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-27 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF CCRI INC
|
2023
|
411294489
|
2024-07-15
|
CCRI INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s
address |
2903 15TH ST S, MOORHEAD, MN, 565605111
|
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CCRI HEALTH PLAN
|
2022
|
411294489
|
2023-07-20
|
CCRI INC
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2007-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s mailing address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Plan sponsor’s
address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-20 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-20 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CCRI LIFE & DENTAL PLAN
|
2022
|
411294489
|
2023-07-30
|
CCRI INC
|
188
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s mailing address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Plan sponsor’s
address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-30 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-30 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF CCRI INC
|
2022
|
411294489
|
2023-07-24
|
CCRI INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s
address |
2903 15TH ST S, MOORHEAD, MN, 565605111
|
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-24 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CCRI HEALTH PLAN
|
2021
|
411294489
|
2022-07-12
|
CCRI INC
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2007-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s mailing address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Plan sponsor’s
address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-12 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CCRI LIFE & DENTAL PLAN
|
2021
|
411294489
|
2022-07-27
|
CCRI INC
|
204
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s mailing address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Plan sponsor’s
address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-27 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF CCRI INC
|
2021
|
411294489
|
2022-07-12
|
CCRI INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s
address |
2903 15TH ST S, MOORHEAD, MN, 565605111
|
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-12 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CCRI HEALTH PLAN
|
2020
|
411294489
|
2021-07-14
|
CCRI INC
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2007-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2182366730
|
Plan sponsor’s mailing address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Plan sponsor’s
address |
2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-14 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-14 |
Name of individual signing |
JENNIFER BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|