|
EBENEZER GROUP DENTAL PLAN
|
2012
|
410706141
|
2013-07-10
|
EBENEZER
|
677
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2011-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6128743485
|
| Plan sponsor’s mailing address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55407
|
| Plan sponsor’s
address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55407
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2013-07-08 |
| Name of individual signing |
MARY SWARTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EBENEZER GROUP DENTAL PLAN
|
2011
|
410706141
|
2012-10-26
|
EBENEZER
|
677
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2011-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6128743485
|
| Plan sponsor’s mailing address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55407
|
| Plan sponsor’s
address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55407
|
Plan administrator’s name and address
| Administrator’s EIN |
410706141 |
| Plan administrator’s name |
EBENEZER |
| Plan administrator’s
address |
2722 PARK AVENUE, MINNEAPOLIS, MN, 55407 |
| Administrator’s telephone number |
6128743485 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
MARY SWARTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
