|
GROUP LIFE AND AD&D INSURANCE FOR EMPLOYEES OF ABILITY BUILDING CENTER, INC.
|
2015
|
410829178
|
2017-01-30
|
ABILITY BUILDING CENTER
|
122
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
590
|
| Effective date of plan |
2002-01-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
5072816262
|
| Plan sponsor’s mailing address |
1911 14TH ST NW, PO BOX 6938, ROCHESTER, MN, 559036938
|
| Plan sponsor’s
address |
1911 14TH ST NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
| Active participants |
136 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-01-30 |
| Name of individual signing |
KELLIE WENDLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-01-30 |
| Name of individual signing |
KELLIE WENDLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF ABILITY BUILDING CENTER, INC.
|
2015
|
410829178
|
2017-01-30
|
ABILITY BUILDING CENTER
|
122
|
|
| Three-digit plan number (PN) |
591
|
| Effective date of plan |
2002-01-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
5072816262
|
| Plan sponsor’s mailing address |
1911 14TH ST NW, PO BOX 6938, ROCHESTER, MN, 559036938
|
| Plan sponsor’s
address |
1911 14TH ST NW, ROCHESTER, MN, 55901
|
Number of participants as of the end of the plan year
| Active participants |
136 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-01-30 |
| Name of individual signing |
KELLIE WENDLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-01-30 |
| Name of individual signing |
KELLIE WENDLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LIFE AND AD&D INSURANCE FOR EMPLOYEES OF ABILITY BUILDING CENTER, INC.
|
2009
|
410829178
|
2010-03-12
|
ABILITY BUILDING CENTER
|
145
|
|
| Three-digit plan number (PN) |
590
|
| Effective date of plan |
2002-01-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
5075357171
|
| Plan sponsor’s mailing address |
1911 NW 14 STREET, ROCHESTER, MN, 55903
|
| Plan sponsor’s
address |
1911 NW 14 STREET, ROCHESTER, MN, 55903
|
Plan administrator’s name and address
| Administrator’s EIN |
410829178 |
| Plan administrator’s name |
ABILITY BUILDING CENTER |
| Plan administrator’s
address |
1911 NW 14 STREET, ROCHESTER, MN, 55903 |
| Administrator’s telephone number |
5075357171 |
Number of participants as of the end of the plan year
| Active participants |
145 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-03-11 |
| Name of individual signing |
STEVE FUCHS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF ABILITY BUILDING CENTER, INC.
|
2009
|
410829178
|
2010-03-12
|
ABILITY BUILDING CENTER
|
140
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
591
|
| Effective date of plan |
2002-01-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
5075357131
|
| Plan sponsor’s mailing address |
1911 NW 14 STREET, ROCHESTER, MN, 55903
|
| Plan sponsor’s
address |
1911 NW 14 STREET, ROCHESTER, MN, 55903
|
Plan administrator’s name and address
| Administrator’s EIN |
410829178 |
| Plan administrator’s name |
ABILITY BUILDING CENTER |
| Plan administrator’s
address |
1911 NW 14 STREET, ROCHESTER, MN, 55903 |
| Administrator’s telephone number |
5075357131 |
Number of participants as of the end of the plan year
| Active participants |
140 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-03-11 |
| Name of individual signing |
STEVE FUCHS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
