HEI HEALTH PLAN
|
2013
|
410944876
|
2014-11-10
|
HEI
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-11-10 |
Name of individual signing |
KENNETH LICAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI VISION PLAN
|
2013
|
410944876
|
2014-11-10
|
HEI
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2013-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-11-10 |
Name of individual signing |
KENNETH LICAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI LIFE AND DISABILITY PLAN
|
2013
|
410944876
|
2014-11-10
|
HEI
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2009-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-11-10 |
Name of individual signing |
KENNETH LICAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI DENTAL PLAN
|
2013
|
410944876
|
2014-11-10
|
HEI
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-11-10 |
Name of individual signing |
KENNETH LICAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI HEALTH AND VISION PLAN
|
2012
|
410944876
|
2013-10-10
|
HEI
|
151
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2010-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI LIFE AND DISABILITY PLAN
|
2012
|
410944876
|
2013-10-10
|
HEI
|
177
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2009-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI DENTAL PLAN
|
2012
|
410944876
|
2013-10-10
|
HEI
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI LIFE AND DISABILITY PLAN
|
2011
|
410944876
|
2012-10-09
|
HEI
|
169
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2009-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan administrator’s name and address
Administrator’s EIN |
410944876 |
Plan administrator’s name |
HEI |
Plan administrator’s
address |
PO BOX 5500, VICTORIA, MN, 55386 |
Administrator’s telephone number |
9524432500 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI DENTAL PLAN
|
2011
|
410944876
|
2012-10-09
|
HEI
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan administrator’s name and address
Administrator’s EIN |
410944876 |
Plan administrator’s name |
HEI |
Plan administrator’s
address |
PO BOX 5500, VICTORIA, MN, 55386 |
Administrator’s telephone number |
9524432500 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEI HEALTH AND VISION PLAN
|
2011
|
410944876
|
2012-10-09
|
HEI
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2010-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9524432500
|
Plan sponsor’s mailing address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan sponsor’s
address |
PO BOX 5500, VICTORIA, MN, 55386
|
Plan administrator’s name and address
Administrator’s EIN |
410944876 |
Plan administrator’s name |
HEI |
Plan administrator’s
address |
PO BOX 5500, VICTORIA, MN, 55386 |
Administrator’s telephone number |
9524432500 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
MARK THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|