|
MILESTONE AV TECHNOLOGIES, LLC LIFE INSURANCE PLAN
|
2011
|
043507597
|
2012-07-31
|
MILESTONE AV TECHNOLOGIES, LLC
|
324
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2011-01-01
|
| Business code |
337000
|
| Sponsor’s telephone number |
8669773901
|
| Plan sponsor’s mailing address |
6436 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
| Plan sponsor’s
address |
6436 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
Plan administrator’s name and address
| Administrator’s EIN |
060838648 |
| Plan administrator’s name |
HARTFORD LIFE AND ACCIDENT |
| Plan administrator’s
address |
P.O. BOX 2999, HARTFORD, CT, 06104 |
| Administrator’s telephone number |
8005232233 |
Number of participants as of the end of the plan year
| Active participants |
314 |
| Retired or separated participants receiving
benefits |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-30 |
| Name of individual signing |
SUSAN WELTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MILESTONE AV TECHNOLOGIES, LLC HEALTH INSURANCE PLAN
|
2011
|
043507597
|
2012-07-31
|
MILESTONE AV TECHNOLOGIES, LLC
|
266
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2011-01-01
|
| Business code |
337000
|
| Sponsor’s telephone number |
8669773901
|
| Plan sponsor’s mailing address |
6436 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
| Plan sponsor’s
address |
6436 CITY WEST PARKWAY, EDEN PRAIRIE, MN, 55344
|
Plan administrator’s name and address
| Administrator’s EIN |
411683523 |
| Plan administrator’s name |
HEALTHPARTNERS INSURANCE CO |
| Plan administrator’s
address |
P.O. BOX 1309, MINNEAPOLIS, MN, 55440 |
| Administrator’s telephone number |
9528836001 |
Number of participants as of the end of the plan year
| Active participants |
224 |
| Retired or separated participants receiving
benefits |
5 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-30 |
| Name of individual signing |
SUSAN WELTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MILESTONE AV TECHNOLOGIES, LLC HEALTH INSURANCE PLAN
|
2009
|
043507597
|
2010-07-20
|
MILESTONE AV TECHNOLOGIES, LLC
|
239
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2008-01-01
|
| Business code |
337000
|
| Sponsor’s telephone number |
9528946280
|
| Plan sponsor’s mailing address |
8401 EAGLE CREEK PARKWAY, SUITE 700, SAVAGE, MN, 55378
|
| Plan sponsor’s
address |
8401 EAGLE CREEK PARKWAY, SUITE 700, SAVAGE, MN, 55378
|
Plan administrator’s name and address
| Administrator’s EIN |
411683523 |
| Plan administrator’s name |
HEALTHPARTNERS INSURANCE CO |
| Plan administrator’s
address |
P.O. BOX 1309, MINNEAPOLIS, MN, 55440 |
| Administrator’s telephone number |
9528836001 |
Number of participants as of the end of the plan year
| Active participants |
270 |
| Retired or separated participants receiving
benefits |
5 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2010-07-19 |
| Name of individual signing |
BONNIE OMEARA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MILESTONE AV TECHNOLOGIES, LLC LIFE INSURANCE PLAN
|
2009
|
043507597
|
2010-07-20
|
MILESTONE AV TECHNOLOGIES, LLC
|
293
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2006-01-01
|
| Business code |
337000
|
| Sponsor’s telephone number |
9528946280
|
| Plan sponsor’s mailing address |
8401 EAGLE CREEK PARKWAY, SUITE 700, SAVAGE, MN, 55378
|
| Plan sponsor’s
address |
8401 EAGLE CREEK PARKWAY, SUITE 700, SAVAGE, MN, 55378
|
Plan administrator’s name and address
| Administrator’s EIN |
135581829 |
| Plan administrator’s name |
METROPOLITAN LIFE INSUARANCE COMPANY |
| Plan administrator’s
address |
200 PARK AVE, NEW YORK, NY, 10166 |
| Administrator’s telephone number |
8002754638 |
Number of participants as of the end of the plan year
| Active participants |
315 |
| Retired or separated participants receiving
benefits |
3 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2010-07-19 |
| Name of individual signing |
BONNIE OMEARA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
