ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2023
|
410711571
|
2024-07-11
|
ACE TELEPHONE ASSOCIATION
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan
sponsor’s DBA name |
ACENTEK
|
Plan sponsor’s mailing address |
207 E CEDAR ST, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR ST, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-11 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2022
|
410711571
|
2023-07-19
|
ACE TELEPHONE ASSOCIATION
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan
sponsor’s DBA name |
ACENTEK
|
Plan sponsor’s mailing address |
207 E CEDAR ST, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR ST, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-19 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2021
|
410711571
|
2022-08-23
|
ACE TELEPHONE ASSOCIATION
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan
sponsor’s DBA name |
ACENTEK
|
Plan sponsor’s mailing address |
207 E CEDAR ST, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR ST, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-23 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2020
|
410711571
|
2021-07-15
|
ACE TELEPHONE ASSOCIATION
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan
sponsor’s DBA name |
ACENTEK
|
Plan sponsor’s mailing address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-15 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2019
|
410711571
|
2020-07-15
|
ACE TELEPHONE ASSOCIATION
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan
sponsor’s DBA name |
ACENTEK
|
Plan sponsor’s mailing address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2018
|
410711571
|
2019-07-01
|
ACE TELEPHONE ASSOCIATION
|
113
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan
sponsor’s DBA name |
ACENTEK
|
Plan sponsor’s mailing address |
207 E CEDAR, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-01 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2018
|
410711571
|
2019-07-01
|
ACE TELEPHONE ASSOCIATION
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan
sponsor’s DBA name |
ACENTEK
|
Plan sponsor’s mailing address |
207 E CEDAR, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-01 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-01 |
Name of individual signing |
KIMBERLY CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION MEDICAL & DENTAL PLAN
|
2017
|
410711571
|
2018-02-07
|
ACE TELEPHONE ASSOCIATION
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan sponsor’s mailing address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-02-07 |
Name of individual signing |
SARAH LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-02-07 |
Name of individual signing |
SARAH LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION EMPLOYEE MEDICAL & DENTAL PLAN
|
2016
|
410711571
|
2018-02-06
|
ACE TELEPHONE ASSOCIATION
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan sponsor’s mailing address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-02-06 |
Name of individual signing |
SARAH LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-02-06 |
Name of individual signing |
SARAH LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACE TELEPHONE ASSOCIATION EMPLOYEE MEDICAL & DENTAL PLAN
|
2015
|
410711571
|
2017-02-10
|
ACE TELEPHONE ASSOCIATION
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-08-01
|
Business code |
517000
|
Sponsor’s telephone number |
5078963192
|
Plan sponsor’s mailing address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Plan sponsor’s
address |
207 E CEDAR STREET, PO BOX 360, HOUSTON, MN, 559430360
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-02-10 |
Name of individual signing |
SARAH LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-10 |
Name of individual signing |
SARAH LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|