|
MECA SPORTSWEAR, INC. GROUP TERM LIFE PLAN
|
2012
|
411528382
|
2014-02-10
|
MECA SPORTSWEAR, INC.
|
113
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2000-10-01
|
| Business code |
315990
|
| Sponsor’s telephone number |
6516383802
|
| Plan sponsor’s mailing address |
3499 LEXINGTON AVENUE NORTH, ST. PAUL, MN, 55126
|
| Plan sponsor’s
address |
SUITE 205, ST. PAUL, MN, 55126
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2014-02-10 |
| Name of individual signing |
MIKE JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-02-10 |
| Name of individual signing |
MIKE JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MECA SPORTSWEAR, INC. GROUP TERM LIFE PLAN
|
2011
|
411528382
|
2013-10-07
|
MECA SPORTSWEAR, INC.
|
119
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2000-10-01
|
| Business code |
315990
|
| Sponsor’s telephone number |
6516383802
|
| Plan sponsor’s mailing address |
3499 LEXINGTON AVENUE NORTH, ST. PAUL, MN, 55126
|
| Plan sponsor’s
address |
SUITE 205, ST. PAUL, MN, 55126
|
Plan administrator’s name and address
| Administrator’s EIN |
411528382 |
| Plan administrator’s name |
MECA SPORTSWEAR, INC. |
| Plan administrator’s
address |
3499 LEXINGTON AVENUE NORTH, ST. PAUL, MN, 55126 |
| Administrator’s telephone number |
6516383802 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2013-10-07 |
| Name of individual signing |
MIKE JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-07 |
| Name of individual signing |
MIKE JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MECA SPORTSWEAR, INC. GROUP TERM LIFE PLAN
|
2010
|
411528382
|
2013-10-07
|
MECA SPORTSWEAR, INC.
|
125
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2000-10-01
|
| Business code |
315990
|
| Sponsor’s telephone number |
6516383802
|
| Plan sponsor’s mailing address |
3499 LEXINGTON AVENUE NORTH, ST. PAUL, MN, 55126
|
| Plan sponsor’s
address |
SUITE 205, ST. PAUL, MN, 55126
|
Plan administrator’s name and address
| Administrator’s EIN |
411528382 |
| Plan administrator’s name |
MECA SPORTSWEAR, INC. |
| Plan administrator’s
address |
3499 LEXINGTON AVENUE NORTH, ST. PAUL, MN, 55126 |
| Administrator’s telephone number |
6516383802 |
Number of participants as of the end of the plan year
| Active participants |
119 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-07 |
| Name of individual signing |
MIKE JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-07 |
| Name of individual signing |
MIKE JENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
