GROUP LIFE INSURANCE PLAN FOR KLEIN FINANCIAL, INC.
|
2017
|
411251036
|
2018-07-02
|
KLEIN FINANCIAL, INC.
|
359
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1963-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Plan sponsor’s
address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Number of participants as of the end of the plan year
Active participants |
347 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2018-07-02 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-02 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG-TERM DISABILITY PLAN FOR KLEIN FINANCIAL, INC.
|
2017
|
411251036
|
2018-07-02
|
KLEIN FINANCIAL, INC.
|
355
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1971-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Plan sponsor’s
address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Number of participants as of the end of the plan year
Active participants |
347 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-07-02 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-02 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VISION INSURANCE FOR KLEIN FINANCIAL, INC.
|
2017
|
411251036
|
2018-06-25
|
KLEIN FINANCIAL, INC.
|
177
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2007-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Plan sponsor’s
address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Number of participants as of the end of the plan year
Active participants |
167 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-06-25 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-25 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL DENTAL PLAN FOR KLEIN FINANCIAL, INC.
|
2017
|
411251036
|
2018-07-05
|
KLEIN FINANCIAL, INC.
|
318
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-08-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Plan sponsor’s
address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Number of participants as of the end of the plan year
Active participants |
257 |
Retired or separated participants receiving
benefits |
49 |
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL DENTAL PLAN FOR KLEIN FINANCIAL, INC.
|
2016
|
411251036
|
2018-07-05
|
KLEIN FINANCIAL, INC.
|
326
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-08-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Plan sponsor’s
address |
1550 AUDUBON ROAD, CHASKA, MN, 55318
|
Number of participants as of the end of the plan year
Active participants |
271 |
Retired or separated participants receiving
benefits |
54 |
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VISION INSURANCE FOR KLEIN FINANCIAL, INC.
|
2016
|
411251036
|
2017-07-28
|
KLEIN FINANCIAL, INC.
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2007-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Plan sponsor’s
address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE PLAN FOR KLEIN FINANCIAL, INC.
|
2016
|
411251036
|
2017-07-17
|
KLEIN FINANCIAL, INC.
|
352
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1963-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Plan sponsor’s
address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Number of participants as of the end of the plan year
Active participants |
355 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG-TERM DISABILITY PLAN FOR KLEIN FINANCIAL, INC.
|
2016
|
411251036
|
2017-07-25
|
KLEIN FINANCIAL, INC.
|
350
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1971-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Plan sponsor’s
address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL DENTAL PLAN FOR KLEIN FINANCIAL
|
2015
|
411251036
|
2017-04-04
|
KLEIN FINANCIAL, INC.
|
367
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-08-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Plan sponsor’s
address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Number of participants as of the end of the plan year
Active participants |
249 |
Retired or separated participants receiving
benefits |
42 |
Signature of
Role |
Plan administrator |
Date |
2017-04-04 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-04 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG-TERM DISABILITY PLAN FOR KLEIN FINANCIAL, INC.
|
2015
|
411251036
|
2016-08-22
|
KLEIN FINANCIAL, INC.
|
348
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1971-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
9524482484
|
Plan
sponsor’s DBA name |
KLEINBANK
|
Plan sponsor’s mailing address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Plan sponsor’s
address |
1550 AUDUBON RD, CHASKA, MN, 553189508
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-08-22 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-22 |
Name of individual signing |
DENISE SCHULTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|