HEALTH FITNESS CORPORATION LIFE INSURANCE PLAN
|
2018
|
411580506
|
2019-09-23
|
HEALTH FITNESS CORPORATION
|
1114
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPLOIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-23 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEATH FITNESS EMPLOYEE MEDICAL BENEFIT PLAN
|
2018
|
411580506
|
2019-09-16
|
HEALTH FITNESS CORPORATION
|
775
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-06-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476049200
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION DISABILITY PLAN
|
2018
|
411580506
|
2019-09-17
|
HEALTH FITNESS CORPORATION
|
1119
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5476151500
|
Plan sponsor’s mailing address |
1700 W 82ND ST STE 200, MINNEAPOLIS, MN, 55431
|
Plan sponsor’s
address |
1700 W 82ND ST STE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION FLEXIBLE BENEFITS PLAN
|
2018
|
411580506
|
2019-09-17
|
HEALTH FITNESS CORPORATION
|
788
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-02-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION VISION BENEFIT PLAN
|
2018
|
411580506
|
2019-09-16
|
HEALTH FITNESS CORPORATION
|
726
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2013-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION EMPLOYEE DENTAL BENEFIT PLAN
|
2018
|
411580506
|
2019-09-16
|
HEALTH FITNESS CORPORATION
|
777
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2007-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION LIFE INSURANCE PLAN
|
2018
|
411580506
|
2019-09-16
|
HEALTH FITNESS CORPORATION
|
1114
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPLOIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEATH FITNESS EMPLOYEE MEDICAL BENEFIT PLAN
|
2017
|
411580506
|
2018-08-15
|
HEALTH FITNESS CORPORATION
|
808
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-06-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476049200
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-08-15 |
Name of individual signing |
JEROME H. HITPAS, FIDUCIARY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEATH FITNESS EMPLOYEE MEDICAL BENEFIT PLAN
|
2017
|
411580506
|
2018-08-15
|
HEALTH FITNESS CORPORATION
|
808
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-06-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476049200
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
|
HEALTH FITNESS CORPORATION LIFE INSURANCE PLAN
|
2017
|
411580506
|
2018-08-24
|
HEALTH FITNESS CORPORATION
|
1120
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
1700 WEST 82ND STREET SUITE 200, MINNEAPLOIS, MN, 55431
|
Plan sponsor’s
address |
1700 WEST 82ND STREET SUITE 200, MINNEAPOLIS, MN, 55431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-08-24 |
Name of individual signing |
JEROME H. HITPAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|