|
GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR EMPLOYEES OF VERIFIED CREDENTIALS, LLC
|
2023
|
411516976
|
2024-06-20
|
VERIFIED CREDENTIALS LLC
|
124
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2004-03-01
|
| Business code |
519100
|
| Sponsor’s telephone number |
9529857200
|
| Plan
sponsor’s DBA name |
41-1505620
|
| Plan sponsor’s mailing address |
20890 KENBRIDGE CT, LAKEVILLE, MN, 550448041
|
| Plan sponsor’s
address |
20890 KENBRIDGE CT, LAKEVILLE, MN, 550448041
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2024-06-20 |
| Name of individual signing |
ANDREW NEBLETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-06-20 |
| Name of individual signing |
ANDREW NEBLETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR EMPLOYEES OF VERIFIED CREDENTIALS, LLC
|
2022
|
411516976
|
2023-04-20
|
VERIFIED CREDENTIALS, LLC
|
99
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2004-03-01
|
| Business code |
519100
|
| Sponsor’s telephone number |
9529857200
|
| Plan sponsor’s mailing address |
20890 KENBRIDGE CT, LAKEVILLE, MN, 550448041
|
| Plan sponsor’s
address |
20890 KENBRIDGE CT, LAKEVILLE, MN, 550448041
|
Plan administrator’s name and address
| Administrator’s EIN |
411516976 |
| Plan administrator’s name |
VERIFIED CREDENTIALS, LLC |
| Plan administrator’s
address |
20890 KENBRIDGE CT, LAKEVILLE, MN, 550448041 |
| Administrator’s telephone number |
9529857200 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2023-04-20 |
| Name of individual signing |
KEVIN SPANG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-04-20 |
| Name of individual signing |
KEVIN SPANG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR EMPLOYEES OF VERIFIED CREDENTIALS, LLC
|
2021
|
411516976
|
2022-05-05
|
VERIFIED CREDENTIALS, LLC
|
108
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2004-03-01
|
| Business code |
519100
|
| Sponsor’s telephone number |
9529857200
|
| Plan
sponsor’s DBA name |
VERIFIED CREDENTIALS, LLC
|
| Plan sponsor’s mailing address |
20890 KENBRIDGE CT, LAKEVILLE, MN, 550448041
|
| Plan sponsor’s
address |
20890 KENBRIDGE CT, LAKEVILLE, MN, 550448041
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2022-05-05 |
| Name of individual signing |
KEVIN SPANG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-05-05 |
| Name of individual signing |
KEVIN SPANG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
