THE HARTFORD
|
2021
|
411269067
|
2022-07-28
|
HOLADAY CIRCUITS
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2020-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 55343
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 55343
|
Number of participants as of the end of the plan year
Active participants |
142 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERREDONE DENTAL
|
2021
|
411269067
|
2022-07-28
|
HOLADAY CIRCUITS
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
90 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-28 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE HARTFORD
|
2020
|
411269067
|
2021-07-29
|
HOLADAY CIRCUITS
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2020-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 55343
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 55343
|
Number of participants as of the end of the plan year
Active participants |
172 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERRED ONE DEMTA;
|
2020
|
411269067
|
2021-07-29
|
HOLADAY CIRCUITS
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
98 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREFERRED ONE MEDICAL
|
2020
|
411269067
|
2021-07-29
|
HOLADAY CIRCUITS
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
334410
|
Sponsor’s telephone number |
9529333303
|
Plan sponsor’s mailing address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Plan sponsor’s
address |
11126 BREN RD W, MINNETONKA, MN, 553439074
|
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
DAN PULANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|