|
ACCESSIBLE SPACE, INC. RETIREMENT PLAN
|
2023
|
411330242
|
2024-07-31
|
ACCESSIBLE SPACE, INC.
|
476
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
531110
|
| Sponsor’s telephone number |
6516457271
|
| Plan sponsor’s
address |
2550 UNIVERSITY AVE. WEST,, SUITE 330N, ST. PAUL, MN, 55114
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-31 |
| Name of individual signing |
LORIANN SARAFOLEAN GRANADOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-07-31 |
| Name of individual signing |
LORIANN SARAFOLEAN GRANADOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP DENTAL PLAN
|
2009
|
411330242
|
2010-08-05
|
ACCESSIBLE SPACE, INC.
|
127
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
503
|
| Effective date of plan |
1994-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
6516457271
|
| Plan sponsor’s mailing address |
2550 UNIVERSITY AVE. W, SUITE 330N, ST PAUL, MN, 55114
|
| Plan sponsor’s
address |
2550 UNIVERSITY AVE. W, SUITE 330N, ST PAUL, MN, 55114
|
Plan administrator’s name and address
| Administrator’s EIN |
411330242 |
| Plan administrator’s name |
ACCESSIBLE SPACE, INC. |
| Plan administrator’s
address |
2550 UNIVERSITY AVE. W, SUITE 330N, ST PAUL, MN, 55114 |
| Administrator’s telephone number |
6516457271 |
Number of participants as of the end of the plan year
| Active participants |
121 |
| Other
retired or separated participants entitled to future benefits |
6 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-05 |
| Name of individual signing |
LORIANN GRANADOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT
|
2009
|
411330242
|
2010-08-05
|
ACCESSIBLE SPACE, INC.
|
375
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
504
|
| Effective date of plan |
1994-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
6516457271
|
| Plan sponsor’s mailing address |
2550 UNIVERSITY AVE W, STE 330N, ST PAUL, MN, 55114
|
| Plan sponsor’s
address |
2550 UNIVERSITY AVE W, STE 330N, ST PAUL, MN, 55114
|
Plan administrator’s name and address
| Administrator’s EIN |
411330242 |
| Plan administrator’s name |
ACCESSIBLE SPACE, INC. |
| Plan administrator’s
address |
2550 UNIVERSITY AVE W, STE 330N, ST PAUL, MN, 55114 |
| Administrator’s telephone number |
6516457271 |
Number of participants as of the end of the plan year
| Active participants |
355 |
| Other
retired or separated participants entitled to future benefits |
17 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-05 |
| Name of individual signing |
LORIANN GRANADOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GROUP MEDICAL PLAN
|
2009
|
411330242
|
2010-08-05
|
ACCESSIBLE SPACE, INC.
|
127
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
1994-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
6516457271
|
| Plan sponsor’s mailing address |
2550 UNIVERSITY AVE W., STE 330N, ST. PAUL, MN, 55114
|
| Plan sponsor’s
address |
2550 UNIVERSITY AVE W., STE 330N, ST. PAUL, MN, 55114
|
Plan administrator’s name and address
| Administrator’s EIN |
411330242 |
| Plan administrator’s name |
ACCESSIBLE SPACE, INC. |
| Plan administrator’s
address |
2550 UNIVERSITY AVE W., STE 330N, ST. PAUL, MN, 55114 |
| Administrator’s telephone number |
6516457271 |
Number of participants as of the end of the plan year
| Active participants |
132 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
6 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-05 |
| Name of individual signing |
LORIANN GRANADOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
