LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2023
|
410365145
|
2024-07-19
|
LAND O'LAKES, INC.
|
6389
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS 4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
PO BOX 64101, MS 4098, SAINT PAUL, MN, 55164 |
Administrator’s telephone number |
8552261231 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-19 |
Name of individual signing |
BRIDGITTE PEARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2022
|
410365145
|
2023-07-26
|
LAND O'LAKES, INC.
|
6266
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164 |
Administrator’s telephone number |
8552261231 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-26 |
Name of individual signing |
BRIDGITTE PEARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2021
|
410365145
|
2022-06-09
|
LAND O'LAKES, INC.
|
6605
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-09 |
Name of individual signing |
BRIDGITTE PEARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-09 |
Name of individual signing |
BRIDGITTE PEARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2020
|
410365145
|
2021-06-07
|
LAND O'LAKES, INC.
|
5620
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-07 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-07 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2019
|
410365145
|
2020-07-09
|
LAND O'LAKES, INC.
|
5636
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-09 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2018
|
410365145
|
2019-06-20
|
LAND O'LAKES, INC.
|
5847
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 55164 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-20 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2017
|
410365145
|
2018-06-15
|
LAND O'LAKES, INC.
|
5143
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 551640101
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
PO BOX 64101, MS4098, SAINT PAUL, MN, 551640101 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-14 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-14 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2016
|
410365145
|
2017-05-31
|
LAND O'LAKES, INC.
|
4649
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
MS4098, PO BOX 64101, SAINT PAUL, MN, 551640101
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
MS4098, PO BOX 64101, SAINT PAUL, MN, 551640101 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Active participants |
4619 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-05-24 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-24 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2015
|
410365145
|
2016-06-14
|
LAND O'LAKES, INC.
|
3110
|
|
File |
View Page
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
MS4098, PO BOX 64101, SAINT PAUL, MN, 551640101
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
MS 4098, PO BOX 64101, SAINT PAUL, MN, 551640101 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Active participants |
3370 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-06-14 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-14 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN
|
2015
|
410365145
|
2016-06-14
|
LAND O'LAKES, INC.
|
3110
|
|
Three-digit plan number (PN) |
601
|
Effective date of plan |
2012-01-01
|
Business code |
115110
|
Sponsor’s telephone number |
6514812222
|
Plan sponsor’s mailing address |
MS4098, PO BOX 64101, SAINT PAUL, MN, 551640101
|
Plan sponsor’s
address |
4001 LEXINGTON AVE N, MS4098, ARDEN HILLS, MN, 55126
|
Plan administrator’s name and address
Administrator’s EIN |
462631103 |
Plan administrator’s name |
GOVERNING BOARD LAND O'LAKES, INC. MEMBER COOPERATIVE HEALTH PLAN |
Plan administrator’s
address |
MS 4098, PO BOX 64101, SAINT PAUL, MN, 551640101 |
Administrator’s telephone number |
6513752167 |
Number of participants as of the end of the plan year
Active participants |
3370 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2016-06-14 |
Name of individual signing |
PAMELA GROVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|