NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2021
|
411940432
|
2022-07-28
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
263
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
173 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
66 |
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-27 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2020
|
411940432
|
2021-07-30
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
261
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
184 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
74 |
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-29 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2019
|
411940432
|
2020-09-09
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
244
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
250 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
A1392794 |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2018
|
411940432
|
2019-07-23
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
229
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
236 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-23 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2017
|
411940432
|
2018-06-04
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
233
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
218 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
9 |
Signature of
Role |
Plan administrator |
Date |
2018-05-31 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-31 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2016
|
411940432
|
2017-07-08
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
242
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
223 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-07 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2015
|
411940432
|
2016-09-21
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
244
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
233 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2016-09-21 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-21 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2014
|
411940432
|
2015-10-14
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
215
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
235 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2013
|
411940432
|
2014-05-30
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
215
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
195 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2014-05-30 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-30 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN
|
2012
|
411940432
|
2013-07-17
|
NORTHWEST RESPIRATORY SERVICES, LLC
|
237
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
6516038720
|
Plan sponsor’s mailing address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan sponsor’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411940432 |
Plan administrator’s name |
NORTHWEST RESPIRATORY SERVICES, LLC |
Plan administrator’s
address |
716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516038720 |
Number of participants as of the end of the plan year
Active participants |
199 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
13 |
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-17 |
Name of individual signing |
CHARLES MORGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|