VIRTEVA LLC BASIC ACCIDENT PLAN
|
2017
|
200479750
|
2019-03-19
|
VIRTEVA LLC
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431115
|
Plan sponsor’s mailing address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Plan sponsor’s
address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA LLC BASIC STD PLAN
|
2017
|
200479750
|
2019-03-19
|
VIRTEVA, LLC
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2002-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431115
|
Plan sponsor’s mailing address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Plan sponsor’s
address |
6110 GOLDEN HILL DR, GOLDEN VALLEY, MN, 554160000
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA LLC BASIC LTD PLAN
|
2017
|
200479750
|
2019-03-19
|
VIRTEVA LLC
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2002-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431115
|
Plan sponsor’s mailing address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Plan sponsor’s
address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA LLC HEALTHPARTNERS 750-25 PLAN
|
2017
|
200479750
|
2019-03-19
|
VIRTEVA LLC
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2002-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431200
|
Plan sponsor’s mailing address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Plan sponsor’s
address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA LLC BASIC LIFE PLAN
|
2017
|
200479750
|
2019-03-19
|
VIRTEVA LLC
|
148
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
8008478382
|
Plan sponsor’s mailing address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Plan sponsor’s
address |
6110 GOLDEN HILLS DR, GOLDEN VALLEY, MN, 554160000
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-19 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA 401(K) PLAN
|
2014
|
200479750
|
2015-04-07
|
VIRTEVA
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431200
|
Plan sponsor’s
address |
6110 GOLDEN HILLS DR, MINNEAPOLIS, MN, 554161020
|
Signature of
Role |
Plan administrator |
Date |
2015-04-07 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-07 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA 401(K) PLAN
|
2013
|
200479750
|
2014-05-29
|
VIRTEVA
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431200
|
Plan sponsor’s
address |
6110 GOLDEN HILLS DR, MINNEAPOLIS, MN, 554161020
|
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-29 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA 401(K) PLAN
|
2012
|
200479750
|
2013-01-31
|
VIRTEVA
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431200
|
Plan sponsor’s
address |
5775 WAYZATA BLVD STE 900, ST LOUIS PARK, MN, 554162674
|
Signature of
Role |
Plan administrator |
Date |
2013-01-31 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-31 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA 401(K) PLAN
|
2011
|
200479750
|
2012-02-02
|
VIRTEVA
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431200
|
Plan sponsor’s
address |
5775 WAYZATA BLVD STE 900, ST LOUIS PARK, MN, 554162674
|
Plan administrator’s name and address
Administrator’s EIN |
200479750 |
Plan administrator’s name |
VIRTEVA |
Plan administrator’s
address |
5775 WAYZATA BLVD STE 900, ST LOUIS PARK, MN, 554162674 |
Administrator’s telephone number |
9528431200 |
Signature of
Role |
Plan administrator |
Date |
2012-02-02 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-02 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIRTEVA 401(K) PLAN
|
2010
|
200479750
|
2011-06-07
|
VIRTEVA
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541519
|
Sponsor’s telephone number |
9528431200
|
Plan sponsor’s
address |
5775 WAYZATA BLVD STE 900, ST LOUIS PARK, MN, 554162674
|
Plan administrator’s name and address
Administrator’s EIN |
200479750 |
Plan administrator’s name |
VIRTEVA |
Plan administrator’s
address |
5775 WAYZATA BLVD STE 900, ST LOUIS PARK, MN, 554162674 |
Administrator’s telephone number |
9528431200 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-07 |
Name of individual signing |
MARTHA KIEFFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|