GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR EMPLOYEES OF VERIFIED CREDENTIALS, INCORPORATED
|
2020
|
411516976
|
2021-05-10
|
VERIFIED CREDENTIALS, INCORPORATED
|
114
|
|
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, INC.
|
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 |
2021-05-10 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-10 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR EMPLOYEES OF VERIFIED CREDENTIALS INCORPORATED
|
2018
|
411516976
|
2019-05-08
|
VERIFIED CREDENTIALS INCORPORATED
|
102
|
|
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 INC
|
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 |
2019-05-08 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE ACCIDENTAL DEATH & DISMEMBERMENT INSURACE FOR EMPLOYEES OF VERIFIED CREDENTIALS INCORPORATED
|
2017
|
411516976
|
2018-05-16
|
VERIFIED CREDENTIALS INCORPORATED
|
102
|
|
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
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-05-16 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-16 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR EMPLOYEES OF VERIFIED CREDENTIALS INCORPORATED
|
2016
|
411516976
|
2017-03-07
|
VERIFIED CREDENTIALS INCORPORATED
|
113
|
|
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
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-03-07 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE, ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE FOR EMPLOYEES OF VERIFIED CREDENTIALS, INC.
|
2015
|
411516976
|
2016-07-08
|
VERIFIED CREDENTIALS INCORPORATED
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-03-01
|
Business code |
518210
|
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 |
350472300 |
Plan administrator’s name |
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |
Plan administrator’s
address |
8801 INDIAN HILLS DR IE, OMAHA, NE, 681144066 |
Administrator’s telephone number |
8004232765 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-08 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-08 |
Name of individual signing |
KEVIN SPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|