GURSTEL LAW FIRM P.C. LIFE INSURANCE PLAN
|
2020
|
411846406
|
2021-04-27
|
GURSTEL LAW FIRM P.C.
|
152
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7632677600
|
Plan sponsor’s mailing address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Plan sponsor’s
address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-04-27 |
Name of individual signing |
PAUL SIEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GURSTEL LAW FIRM P.C. LIFE INSURANCE PLAN
|
2020
|
411846406
|
2021-04-27
|
GURSTEL LAW FIRM P.C.
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7632676700
|
Plan sponsor’s mailing address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Plan sponsor’s
address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-04-27 |
Name of individual signing |
PAUL SIEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GURSTEL LAW FIRM P.C. LIFE INSURANCE PLAN
|
2019
|
411846406
|
2021-04-27
|
GURSTEL LAW FIRM P.C.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7632677600
|
Plan sponsor’s mailing address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Plan sponsor’s
address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-04-27 |
Name of individual signing |
PAUL SIEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GURSTEL LAW FIRM P.C. MEDICAL PLAN
|
2019
|
411846406
|
2020-08-14
|
GURSTEL LAW FIRM P.C.
|
125
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7632676700
|
Plan sponsor’s mailing address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Plan sponsor’s
address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
PAUL SIEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GURSTEL LAW FIRM P.C. DENTAL PLAN
|
2019
|
411846406
|
2020-08-14
|
GURSTEL LAW FIRM P.C.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7632676700
|
Plan sponsor’s mailing address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Plan sponsor’s
address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
PAUL SIEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GURSTEL LAW FIRM P.C. DENTAL PLAN
|
2018
|
411846406
|
2020-08-14
|
GURSTEL LAW FIRM P.C.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7632676700
|
Plan sponsor’s mailing address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Plan sponsor’s
address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
PAUL SIEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GURSTEL LAW FIRM P.C. DENTAL PLAN
|
2017
|
411846406
|
2020-08-14
|
GURSTEL LAW FIRM P.C.
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
7632676700
|
Plan sponsor’s mailing address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Plan sponsor’s
address |
6681 COUNTRY CLUB DR, GOLDEN VALLEY, MN, 554274601
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
PAUL SIEGEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|