NOTT COMPANY LIFE & DISABILITY WRAP PLAN
|
2023
|
410452050
|
2024-09-26
|
NOTT COMPANY
|
292
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2017-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-09-26 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-26 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY LIFE & DISABILITY WRAP PLAN
|
2022
|
410452050
|
2023-11-02
|
NOTT COMPANY
|
190
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2017-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-11-02 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-02 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY HELATH & DENTAL WRAP PLAN
|
2022
|
410452050
|
2024-05-27
|
NOTT COMPANY
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2017-12-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-27 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-27 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY HEALTH & DENTAL WRAP PLAN
|
2021
|
410452050
|
2023-05-30
|
NOTT COMPANY
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2017-12-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-05-30 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-30 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY LIFE & DISABILITY WRAP PLAN
|
2021
|
410452050
|
2023-05-23
|
NOTT COMPANY
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2017-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-05-23 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-23 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY HEALTH & DENTAL WRAP PLAN
|
2020
|
410452050
|
2022-06-28
|
NOTT COMPANY
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2017-12-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan
sponsor’s DBA name |
NOTT COMPANY
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-28 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-28 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY LIFE & DISABILITY WRAP PLAN
|
2020
|
410452050
|
2021-11-30
|
NOTT COMPANY
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2017-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-11-30 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-11-30 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY HEALTH & DENTAL WRAP PLAN
|
2019
|
410452050
|
2021-05-27
|
NOTT COMPANY
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2017-12-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-05-27 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-27 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY LIFE & DISABILITY WRAP PLAN
|
2019
|
410452050
|
2020-06-25
|
NOTT COMPANY
|
151
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2017-06-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-25 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-25 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOTT COMPANY HEALTH & DENTAL WRAP PLAN
|
2018
|
410452050
|
2020-04-15
|
NOTT COMPANY
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2017-12-01
|
Business code |
423800
|
Sponsor’s telephone number |
6514153400
|
Plan sponsor’s mailing address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Plan sponsor’s
address |
4480 ROUND LAKE RD W, ARDEN HILLS, MN, 551121961
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-04-15 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-15 |
Name of individual signing |
NANCY GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|