|
LIFE, ADD, DEPENDENT LIFE, STOPLOSS
|
2012
|
410907427
|
2013-06-20
|
THRIFTY WHITE DRUG
|
867
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1983-12-01
|
| Business code |
446110
|
| Plan sponsor’s mailing address |
6055 NATHAN LANE N, SUITE 200, PLYMOUTH, MN, 55442
|
| Plan sponsor’s
address |
6055 NATHAN LANE N, SUITE 200, PLYMOUTH, MN, 55442
|
Number of participants as of the end of the plan year
| Active participants |
930 |
| Retired or separated participants receiving
benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-06-20 |
| Name of individual signing |
ROBERT REYNOLDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-06-20 |
| Name of individual signing |
ROBERT REYNOLDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE, ADD, DEPENDENT LIFE, STOPLOSS
|
2011
|
410907427
|
2012-07-12
|
THRIFTY WHITE DRUG
|
838
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1983-12-01
|
| Business code |
446110
|
| Plan sponsor’s mailing address |
6055 NATHAN LANE N., SUITE #200, PLYMOUTH, MN, 55442
|
| Plan sponsor’s
address |
6055 NATHAN LANE N., SUITE #200, PLYMOUTH, MN, 55442
|
Plan administrator’s name and address
| Administrator’s EIN |
410907427 |
| Plan administrator’s name |
THRIFTY WHITE DRUG |
| Plan administrator’s
address |
6055 NATHAN LANE N., SUITE #200, PLYMOUTH, MN, 55442 |
Number of participants as of the end of the plan year
| Active participants |
867 |
| 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 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-12 |
| Name of individual signing |
ROBERT REYNOLDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE, ADD, DEPENDENT LIFE, STOPLOSS
|
2010
|
410907427
|
2011-07-27
|
THRIFTY WHITE DRUG
|
838
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1983-12-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
7635134300
|
| Plan sponsor’s mailing address |
6901 E. FISH LAKE ROAD, SUITE 118, MAPLE GROVE, MN, 55369
|
| Plan sponsor’s
address |
6901 E. FISH LAKE ROAD, SUITE 118, MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
| Administrator’s EIN |
410907427 |
| Plan administrator’s name |
THRIFTY WHITE DRUG |
| Plan administrator’s
address |
6901 E. FISH LAKE ROAD, SUITE 118, MAPLE GROVE, MN, 55369 |
| Administrator’s telephone number |
7635134300 |
Number of participants as of the end of the plan year
| Active participants |
842 |
| Retired or separated participants receiving
benefits |
8 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-27 |
| Name of individual signing |
ROBERT REYNOLDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE, ADD, DEPENDENT LIFE, STOPLOSS
|
2009
|
410907427
|
2010-10-14
|
THRIFTY WHITE DRUG
|
901
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
1983-12-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
7635134337
|
| Plan
sponsor’s DBA name |
THRIFTY WHITE DRUG
|
| Plan sponsor’s mailing address |
6901 EAST FISH LAKE ROAD, SUITE 118, MAPLE GROVE, MN, 55369
|
| Plan sponsor’s
address |
6901 EAST FISH LAKE ROAD, SUITE 118, MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
| Administrator’s EIN |
410907427 |
| Plan administrator’s name |
THRIFTY WHITE DRUG |
| Plan administrator’s
address |
6901 EAST FISH LAKE ROAD, SUITE 118, MAPLE GROVE, MN, 55369 |
| Administrator’s telephone number |
7635134337 |
Number of participants as of the end of the plan year
| Active participants |
833 |
| Retired or separated participants receiving
benefits |
5 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-14 |
| Name of individual signing |
ROBERT REYNOLDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-14 |
| Name of individual signing |
MARK BASCO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
