MANKATO CLINIC LTD EMPLOYER SPONSORED FRINGE BENEFIT PLAN
|
2009
|
410849339
|
2010-09-27
|
MANKATO CLINIC LTD
|
307
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2001-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5076251811
|
Plan sponsor’s mailing address |
PO BOX 8674, MANKATO, MN, 560028674
|
Plan sponsor’s
address |
1230 EAST MAIN STREET, MANKATO, MN, 56002
|
Plan administrator’s name and address
Administrator’s EIN |
410849339 |
Plan administrator’s name |
MANKATO CLINIC LTD |
Plan administrator’s
address |
PO BOX 8674, MANKATO, MN, 560028674 |
Administrator’s telephone number |
5076251811 |
Number of participants as of the end of the plan year
Active participants |
307 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
STEVE HATKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANKATO CLINIC LTD GROUP HEALTH PLAN
|
2009
|
410849339
|
2010-09-27
|
MANKATO CLINIC LTD
|
653
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5076251811
|
Plan sponsor’s mailing address |
PO BOX 8674, MANKATO, MN, 560028674
|
Plan sponsor’s
address |
1230 EAST MAIN STREET, MANKATO, MN, 56002
|
Plan administrator’s name and address
Administrator’s EIN |
410849339 |
Plan administrator’s name |
MANKATO CLINIC LTD |
Plan administrator’s
address |
PO BOX 8674, MANKATO, MN, 560028674 |
Administrator’s telephone number |
5076251811 |
Number of participants as of the end of the plan year
Active participants |
625 |
Retired or separated participants receiving
benefits |
41 |
Other
retired or separated participants entitled to future benefits |
91 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
STEVE HATKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANKATO CLINIC LTD EMPLOYEE ASSISTANCE PROGRAM
|
2009
|
410849339
|
2010-09-27
|
MANKATO CLINIC LTD
|
754
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2004-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
5076251811
|
Plan sponsor’s mailing address |
PO BOX 8674, MANKATO, MN, 560028674
|
Plan sponsor’s
address |
1230 EAST MAIN STREET, MANKATO, MN, 56002
|
Plan administrator’s name and address
Administrator’s EIN |
410849339 |
Plan administrator’s name |
MANKATO CLINIC LTD |
Plan administrator’s
address |
PO BOX 8674, MANKATO, MN, 560028674 |
Administrator’s telephone number |
5076251811 |
Number of participants as of the end of the plan year
Active participants |
626 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
STEVE HATKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANKATO CLINIC LTD DENTAL, LIFE AND DISABILITY PLAN
|
2009
|
410849339
|
2010-09-27
|
MANKATO CLINIC LTD
|
586
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1994-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5076251811
|
Plan sponsor’s mailing address |
PO BOX 8674, MANKATO, MN, 560028674
|
Plan sponsor’s
address |
1230 EAST MAIN STREET, MANKATO, MN, 56002
|
Plan administrator’s name and address
Administrator’s EIN |
410849339 |
Plan administrator’s name |
MANKATO CLINIC LTD |
Plan administrator’s
address |
PO BOX 8674, MANKATO, MN, 560028674 |
Administrator’s telephone number |
5076251811 |
Number of participants as of the end of the plan year
Active participants |
626 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
STEVE HATKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|