CANNON EQUIPMENT 125 BENEFIT PLAN - TASC
|
2019
|
411290401
|
2020-02-28
|
CANNON EQUIPMENT LLC
|
16
|
|
Three-digit plan number (PN) |
521
|
Effective date of plan |
2007-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072634231
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2020-02-28 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT LLC BUSINESS TRAVEL ACCIDENT INSURANCE PLAN 520
|
2019
|
411290401
|
2020-06-11
|
CANNON EQUIPMENT LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2019-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072636433
|
Plan
sponsor’s DBA name |
CANNON EQUIPMENT
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2020-06-11 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT 125 BENEFIT PLAN - TASC
|
2019
|
411290401
|
2020-06-11
|
CANNON EQUIPMENT LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
521
|
Effective date of plan |
2007-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072634231
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2020-06-11 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT 125 BENEFIT PLAN - TASC
|
2018
|
411290401
|
2019-04-29
|
CANNON EQUIPMENT LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
521
|
Effective date of plan |
2007-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072634231
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2019-04-29 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT LLC BUSINESS TRAVEL ACCIDENT INSURANCE PLAN 520
|
2018
|
411290401
|
2019-07-26
|
CANNON EQUIPMENT LLC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2018-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072636677
|
Plan
sponsor’s DBA name |
CANNON EQUIPMENT
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
JOHN EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT LLC BUSINESS TRAVEL ACCIDENT INSURANCE PLAN 520
|
2017
|
411290401
|
2018-07-18
|
CANNON EQUIPMENT LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2017-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072636677
|
Plan
sponsor’s DBA name |
CANNON EQUIPMENT
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2018-07-17 |
Name of individual signing |
JOHN EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-17 |
Name of individual signing |
JOHN EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT 125 BENEFIT PLAN - TASC
|
2017
|
411290401
|
2018-02-19
|
CANNON EQUIPMENT
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
521
|
Effective date of plan |
2007-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072634231
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2018-02-19 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-02-19 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT 125 BENEFIT PLAN - TASC
|
2016
|
411290401
|
2017-03-01
|
CANNON EQUIPMENT
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
521
|
Effective date of plan |
2007-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072634231
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2017-03-01 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-01 |
Name of individual signing |
KATHY LUNDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT LLC BUSINESS TRAVEL ACCIDENT INSURANCE PLAN 520
|
2016
|
411290401
|
2017-07-19
|
CANNON EQUIPMENT LLC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2016-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072636677
|
Plan
sponsor’s DBA name |
CANNON EQUIPMENT
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
JOHN EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-19 |
Name of individual signing |
JOHN EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANNON EQUIPMENT LLC BUSINESS TRAVEL ACCIDENT INSURANCE PLAN 520
|
2015
|
411290401
|
2016-06-17
|
CANNON EQUIPMENT LLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
2015-01-01
|
Business code |
331200
|
Sponsor’s telephone number |
5072636677
|
Plan
sponsor’s DBA name |
CANNON EQUIPMENT LLC
|
Plan sponsor’s
address |
324 WASHINGTON ST W, CANNON FALLS, MN, 550091142
|
Signature of
Role |
Plan administrator |
Date |
2016-06-17 |
Name of individual signing |
JOHN EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|