|
MOO LIFE AD&D AND LTD
|
2020
|
260035570
|
2021-11-12
|
NOVA CLASSICAL ACADEMY
|
105
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2020-01-01
|
| Business code |
611000
|
| Sponsor’s telephone number |
6512096320
|
| Plan sponsor’s mailing address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
| Plan sponsor’s
address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2021-04-15 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-04-15 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE AD&D
|
2019
|
260035570
|
2020-07-28
|
NOVA CLASSICAL ACADEMY
|
108
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2019-09-01
|
| Business code |
611000
|
| Sponsor’s telephone number |
6512096320
|
| Plan sponsor’s mailing address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
| Plan sponsor’s
address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2020-07-28 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-28 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE AD&D
|
2018
|
260035570
|
2020-01-29
|
NOVA CLASSICAL ACADEMY
|
110
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2018-09-01
|
| Business code |
611000
|
| Sponsor’s telephone number |
6512096320
|
| Plan sponsor’s mailing address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
| Plan sponsor’s
address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2020-01-29 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-01-29 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE AD&D
|
2018
|
260035570
|
2020-02-14
|
NOVA CLASSICAL ACADEMY
|
110
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2018-09-01
|
| Business code |
611000
|
| Sponsor’s telephone number |
6512096320
|
| Plan sponsor’s mailing address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
| Plan sponsor’s
address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2020-02-14 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE AD&D
|
2017
|
260035570
|
2019-01-15
|
NOVA CLASSICAL ACADEMY
|
110
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-09-01
|
| Business code |
611000
|
| Sponsor’s telephone number |
6512096320
|
| Plan sponsor’s mailing address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
| Plan sponsor’s
address |
1455 VICTORIA WAY, SAINT PAUL, MN, 551024213
|
Number of participants as of the end of the plan year
| Active participants |
110 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2019-01-15 |
| Name of individual signing |
KRISCEL ESTRELLA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
