NATIONAL CAMERA EXCHANGE COMPREHENSIVE MAJOR MEDICAL PLAN
|
2012
|
410822919
|
2013-07-30
|
NATIONAL CAMERA EXCHANGE
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-01-01
|
Business code |
443130
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
CANDACE GILLARD |
Administrator’s telephone number |
7635915169 |
Number of participants as of the end of the plan year
Active participants |
78 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-30 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE COMPREHENSIVE MAJOR MEDICAL PLAN
|
2011
|
410822919
|
2012-07-25
|
NATIONAL CAMERA EXCHANGE
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635466831
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
CANDACE GILLARD |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635466831 |
Number of participants as of the end of the plan year
Active participants |
84 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-25 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE RETIREMENT SAVINGS PLAN
|
2010
|
410822919
|
2012-01-10
|
NATIONAL CAMERA EXCHANGE
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-04-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635915169
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
NATIONAL CAMERA EXCHANGE |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635915169 |
Number of participants as of the end of the plan year
Active participants |
142 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
22 |
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 |
153 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-01-10 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-10 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE COMPREHENSIVE MAJOR MEDICAL PLAN
|
2010
|
410822919
|
2011-07-28
|
NATIONAL CAMERA EXCHANGE
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635466831
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
CANDACE GILLARD |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635466831 |
Number of participants as of the end of the plan year
Active participants |
85 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-27 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE COMPREHENSIVE MAJOR MEDICAL PLAN
|
2009
|
410822919
|
2010-07-22
|
NATIONAL CAMERA EXCHANGE
|
80
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635466831
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
CANDACE GILLARD |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635915169 |
Number of participants as of the end of the plan year
Active participants |
75 |
Retired or separated participants receiving
benefits |
3 |
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 |
Employer/plan sponsor |
Date |
2010-07-22 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE RETIREMENT SAVINGS PLAN
|
2009
|
410822919
|
2011-01-12
|
NATIONAL CAMERA EXCHANGE
|
147
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-04-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635915169
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
NATIONAL CAMERA EXCHANGE |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635915169 |
Number of participants as of the end of the plan year
Active participants |
142 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
22 |
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 |
153 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-12 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE RETIREMENT SAVINGS PLAN
|
2009
|
410822919
|
2011-01-12
|
NATIONAL CAMERA EXCHANGE
|
147
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-04-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635915169
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
NATIONAL CAMERA EXCHANGE |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635915169 |
Number of participants as of the end of the plan year
Active participants |
142 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
22 |
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 |
153 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-12 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE COMPREHENSIVE MAJOR MEDICAL PLAN
|
2009
|
410822919
|
2010-07-22
|
NATIONAL CAMERA EXCHANGE
|
80
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635466831
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
CANDACE GILLARD |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635915169 |
Number of participants as of the end of the plan year
Active participants |
75 |
Retired or separated participants receiving
benefits |
3 |
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 |
2010-07-22 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL CAMERA EXCHANGE COMPREHENSIVE MAJOR MEDICAL PLAN
|
2009
|
410822919
|
2010-07-22
|
NATIONAL CAMERA EXCHANGE
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
443130
|
Sponsor’s telephone number |
7635466831
|
Plan sponsor’s mailing address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan sponsor’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427
|
Plan administrator’s name and address
Administrator’s EIN |
410822919 |
Plan administrator’s name |
CANDACE GILLARD |
Plan administrator’s
address |
9300 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN, 55427 |
Administrator’s telephone number |
7635915169 |
Number of participants as of the end of the plan year
Active participants |
75 |
Retired or separated participants receiving
benefits |
3 |
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 |
2010-07-22 |
Name of individual signing |
CANDACE GILLARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-22 |
Name of individual signing |
JONATHAN LISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|