LIFETOUCH INC. MEDICAL PLAN
|
2020
|
410670446
|
2021-07-21
|
LIFETOUCH INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1980-10-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-21 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC LONG TERM DISABILITY INCOME PLAN
|
2020
|
410670446
|
2021-07-21
|
LIFETOUCH INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1987-11-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Active participants |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-21 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC GROUP SHORT TERM DISABILITY PLAN
|
2020
|
410670446
|
2021-07-21
|
LIFETOUCH INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-03-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-21 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC GROUP SHORT TERM DISABILITY PLAN
|
2019
|
410670446
|
2020-07-29
|
LIFETOUCH INC
|
1254
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-03-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC. MEDICAL PLAN
|
2019
|
410670446
|
2020-07-29
|
LIFETOUCH INC.
|
3542
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1980-10-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC LONG TERM DISABILITY INCOME PLAN
|
2019
|
410670446
|
2020-07-29
|
LIFETOUCH INC
|
4959
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1987-11-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC. MEDICAL PLAN
|
2018
|
410670446
|
2019-07-26
|
LIFETOUCH INC.
|
3818
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1980-10-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Active participants |
3542 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC LONG TERM DISABILITY INCOME PLAN
|
2018
|
410670446
|
2019-07-26
|
LIFETOUCH INC
|
5094
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1987-11-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Active participants |
4959 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH INC GROUP SHORT TERM DISABILITY PLAN
|
2018
|
410670446
|
2019-07-26
|
LIFETOUCH INC
|
1125
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-03-01
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Active participants |
1254 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETOUCH GROUP LIFE INSURANCE PLAN
|
2018
|
410670446
|
2019-07-26
|
LIFETOUCH INC
|
5113
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1973-05-23
|
Business code |
541920
|
Sponsor’s telephone number |
9528264114
|
Plan sponsor’s mailing address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Plan sponsor’s
address |
11000 VIKING DR STE 400, EDEN PRAIRIE, MN, 553447217
|
Number of participants as of the end of the plan year
Active participants |
4970 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-26 |
Name of individual signing |
ANN CARLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|