DENTAL PLAN
|
2014
|
411980846
|
2015-07-24
|
DIASORIN INC.
|
284
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC |
Plan administrator’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
274 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-24 |
Name of individual signing |
STACY LAUBSCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTHCARE PLAN
|
2014
|
411980846
|
2015-07-23
|
DIASORIN INC.
|
666
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-11-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC. |
Plan administrator’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
652 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
STACY LAUBSCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE PLAN
|
2014
|
411980846
|
2015-07-23
|
DIASORIN INC.
|
328
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2009-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC |
Plan administrator’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
335 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
STACY LAUBSCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DISABILITY PLAN
|
2014
|
411980846
|
2015-07-23
|
DIASORIN INC.
|
315
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2009-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC. |
Plan administrator’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
311 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
STACY LAUBSCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE PLAN
|
2013
|
411980846
|
2014-07-08
|
DIASORIN INC.
|
337
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2009-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC |
Plan administrator’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
328 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
DOUGLAS SCHUENKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DISABILITY PLAN
|
2013
|
411980846
|
2014-07-08
|
DIASORIN INC.
|
318
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2009-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC. |
Plan administrator’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
315 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
DOUGLAS SCHUENKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL PLAN
|
2013
|
411980846
|
2014-07-08
|
DIASORIN INC.
|
345
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2000-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC |
Plan administrator’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
284 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
DOUGLAS SCHUENKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTHCARE PLAN
|
2013
|
411980846
|
2014-07-08
|
DIASORIN INC.
|
684
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-11-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC. |
Plan administrator’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
666 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
DOUGLAS SCHUENKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTHCARE PLAN
|
2012
|
411980846
|
2013-07-26
|
DIASORIN INC.
|
716
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-11-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC. |
Plan administrator’s
address |
1951 NORTHWESTERN AVE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
684 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
TRACIE CLEMMENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DISABILITY PLAN
|
2012
|
411980846
|
2013-07-26
|
DIASORIN INC
|
318
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2009-01-01
|
Business code |
325410
|
Sponsor’s telephone number |
6513515647
|
Plan sponsor’s mailing address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082
|
Plan sponsor’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082
|
Plan administrator’s name and address
Administrator’s EIN |
411980846 |
Plan administrator’s name |
DIASORIN INC. |
Plan administrator’s
address |
1951 NORTHWESTERN AVENUE, STILLWATER, MN, 55082 |
Administrator’s telephone number |
6513515647 |
Number of participants as of the end of the plan year
Active participants |
318 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
TRACIE CLEMMENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|