CRYSTAL CABINET WORKS INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2022
|
410828559
|
2024-01-19
|
CRYSTAL CABINET WORKS INC
|
455
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s mailing address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-01-19 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-01-19 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS INC VEBA HEALTH SAVINGS PLAN
|
2022
|
410828559
|
2024-04-15
|
CRYSTAL CABINET WORKS
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Signature of
Role |
Plan administrator |
Date |
2024-04-12 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-12 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2021
|
410828559
|
2023-04-18
|
CRYSTAL CABINET WORKS INC
|
436
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s mailing address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-04-18 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-18 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS INC VEBA HEALTH SAVINGS PLAN
|
2021
|
410828559
|
2023-04-18
|
CRYSTAL CABINET WORKS INC
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Signature of
Role |
Plan administrator |
Date |
2023-04-18 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-18 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2020
|
410828559
|
2022-04-15
|
CRYSTAL CABINET WORKS INC
|
460
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s mailing address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-04-15 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-15 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS INC VEBA HEALTH SAVINGS PLAN
|
2020
|
410828559
|
2022-04-15
|
CRYSTAL CABINET WORKS INC
|
78
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Signature of
Role |
Plan administrator |
Date |
2022-04-14 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-14 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2019
|
410828559
|
2021-01-29
|
CRYSTAL CABINET WORKS, INC.
|
450
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s mailing address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-01-29 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-29 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS INC VEBA HEALTH SAVINGS PLAN
|
2019
|
410828559
|
2021-02-01
|
CRYSTAL CABINET WORKS INC
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Signature of
Role |
Plan administrator |
Date |
2021-02-01 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-01 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2018
|
410828559
|
2020-01-24
|
CRYSTAL CABINET WORKS, INC.
|
435
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2017-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s mailing address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Number of participants as of the end of the plan year
Active participants |
446 |
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 |
4 |
Signature of
Role |
Plan administrator |
Date |
2020-01-24 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-24 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRYSTAL CABINET WORKS, INC VEBA HEALTH SAVINGS PLAN
|
2018
|
410828559
|
2020-01-22
|
CRYSTAL CABINET WORKS INC
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
337000
|
Sponsor’s telephone number |
7633894187
|
Plan sponsor’s
address |
1100 CRYSTAL DR, PRINCETON, MN, 553713350
|
Signature of
Role |
Plan administrator |
Date |
2020-01-22 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-22 |
Name of individual signing |
ROBERT NORDLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|