ROAD MACHINERY & SUPPLIES CO MEDICAL PLAN
|
2015
|
410771379
|
2016-10-12
|
ROAD MACHINERY & SUPPLIES CO.
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Number of participants as of the end of the plan year
Active participants |
162 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. LIFE INSURANCE PLAN
|
2015
|
410771349
|
2016-10-11
|
ROAD MACHINERY & SUPPLIES CO.
|
226
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Number of participants as of the end of the plan year
Active participants |
222 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. LIFE INSURANCE PLAN
|
2014
|
410771349
|
2015-10-12
|
ROAD MACHINERY & SUPPLIES CO.
|
205
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Number of participants as of the end of the plan year
Active participants |
226 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. EMPLOYEE MEDICAL PLAN
|
2014
|
410771349
|
2015-10-12
|
ROAD MACHINERY & SUPPLIES CO.
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 HIGHWAY 13 W, SAVAGE, MN, 553781215
|
Number of participants as of the end of the plan year
Active participants |
176 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. EMPLOYEE MEDICAL PLAN
|
2013
|
410771349
|
2014-10-15
|
ROAD MACHINERY & SUPPLIES CO.
|
164
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 WEST HIGHWAY 13, SAVAAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 WEST HIGHWAY 13, SAVAAGE, MN, 553781215
|
Number of participants as of the end of the plan year
Active participants |
152 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. LIFE INSURANCE PLAN
|
2013
|
410771349
|
2014-10-10
|
ROAD MACHINERY & SUPPLIES CO.
|
220
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 553781215
|
Number of participants as of the end of the plan year
Active participants |
203 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-10 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. EMPLOYEE LIFE INSURANCE PLAN
|
2012
|
410771349
|
2013-10-10
|
ROAD MACHINERY & SUPPLIES CO.
|
215
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 553781215
|
Number of participants as of the end of the plan year
Active participants |
214 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. EMPLOYEE MEDICAL PLAN
|
2011
|
410771349
|
2012-10-09
|
ROAD MACHINERY & SUPPLIES CO.
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 553781215
|
Plan sponsor’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 553781215
|
Plan administrator’s name and address
Administrator’s EIN |
410771349 |
Plan administrator’s name |
ROAD MACHINERY & SUPPLIES CO. |
Plan administrator’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 553781215 |
Administrator’s telephone number |
9528959595 |
Number of participants as of the end of the plan year
Active participants |
172 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. EMPLOYEE LIFE INSURANCE PLAN
|
2010
|
410771349
|
2011-10-12
|
ROAD MACHINERY & SUPPLIES CO.
|
195
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 55378
|
Plan sponsor’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 55378
|
Plan administrator’s name and address
Administrator’s EIN |
410771349 |
Plan administrator’s name |
ROAD MACHINERY & SUPPLIES CO. |
Plan administrator’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 55378 |
Administrator’s telephone number |
9528959595 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROAD MACHINERY & SUPPLIES CO. EMPLOYEE MEDICAL PLAN
|
2010
|
410771349
|
2011-10-12
|
ROAD MACHINERY & SUPPLIES CO.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1997-01-01
|
Business code |
532400
|
Sponsor’s telephone number |
9528959595
|
Plan sponsor’s mailing address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 55378
|
Plan sponsor’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 55378
|
Plan administrator’s name and address
Administrator’s EIN |
410771349 |
Plan administrator’s name |
ROAD MACHINERY & SUPPLIES CO. |
Plan administrator’s
address |
5633 WEST HIGHWAY 13, SAVAGE, MN, 55378 |
Administrator’s telephone number |
9528959595 |
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
WILLIAM HOLTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|