TAPEMARK COMPANY GROUP TERM INSURANCE
|
2010
|
410777228
|
2011-07-11
|
TAPEMARK COMPANY
|
165
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1968-07-01
|
Business code |
339900
|
Sponsor’s telephone number |
6514508486
|
Plan sponsor’s mailing address |
1685 MARTHALER LANE, WEST ST PAUL, MN, 55118
|
Plan sponsor’s
address |
1685 MARTHALER LANE, WEST ST PAUL, MN, 55118
|
Plan administrator’s name and address
Administrator’s EIN |
410777228 |
Plan administrator’s name |
TAPEMARK COMPANY |
Plan administrator’s
address |
1685 MARTHALER LANE, WEST ST PAUL, MN, 55118 |
Administrator’s telephone number |
6514508486 |
Number of participants as of the end of the plan year
Active participants |
138 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
PATRICIA MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAPEMARK COMPANY GROUP HEALTH MEDICAL
|
2010
|
410777228
|
2011-07-11
|
TAPEMARK COMPANY
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1968-07-01
|
Business code |
339900
|
Sponsor’s telephone number |
6514508486
|
Plan sponsor’s mailing address |
1685 MARTHALER LANE, WEST ST PAUL, MN, 55118
|
Plan sponsor’s
address |
1685 MARTHALER LANE, WEST ST PAUL, MN, 55118
|
Plan administrator’s name and address
Administrator’s EIN |
410777228 |
Plan administrator’s name |
TAPEMARK COMPANY |
Plan administrator’s
address |
1685 MARTHALER LANE, WEST ST PAUL, MN, 55118 |
Administrator’s telephone number |
6514508486 |
Number of participants as of the end of the plan year
Active participants |
129 |
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 |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
PATRICIA MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAPEMARK COMPANY GROUP HEALTH MEDICAL
|
2009
|
410777228
|
2010-06-29
|
TAPEMARK COMPANY
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1968-07-01
|
Business code |
339900
|
Sponsor’s telephone number |
6514508486
|
Plan sponsor’s mailing address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan sponsor’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan administrator’s name and address
Administrator’s EIN |
410777228 |
Plan administrator’s name |
TAPEMARK COMPANY |
Plan administrator’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118 |
Administrator’s telephone number |
6514508486 |
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2010-06-29 |
Name of individual signing |
PAT MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAPEMARK COMPANY GROUP TERM INSURANCE
|
2009
|
410777228
|
2010-06-29
|
TAPEMARK COMPANY
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1968-07-01
|
Business code |
339900
|
Sponsor’s telephone number |
6514508486
|
Plan sponsor’s mailing address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan sponsor’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan administrator’s name and address
Administrator’s EIN |
410777228 |
Plan administrator’s name |
TAPEMARK COMPANY |
Plan administrator’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118 |
Administrator’s telephone number |
6514508486 |
Number of participants as of the end of the plan year
Active participants |
165 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2010-06-29 |
Name of individual signing |
PAT MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAPEMARK COMPANY GROUP HEALTH MEDICAL
|
2009
|
410777228
|
2010-06-29
|
TAPEMARK COMPANY
|
149
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1968-07-01
|
Business code |
339900
|
Sponsor’s telephone number |
6514508486
|
Plan sponsor’s mailing address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan sponsor’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan administrator’s name and address
Administrator’s EIN |
410777228 |
Plan administrator’s name |
TAPEMARK COMPANY |
Plan administrator’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118 |
Administrator’s telephone number |
6514508486 |
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-06-29 |
Name of individual signing |
PAT MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAPEMARK COMPANY GROUP TERM INSURANCE
|
2009
|
410777228
|
2010-06-29
|
TAPEMARK COMPANY
|
182
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1968-07-01
|
Business code |
339900
|
Sponsor’s telephone number |
6514508486
|
Plan sponsor’s mailing address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan sponsor’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118
|
Plan administrator’s name and address
Administrator’s EIN |
410777228 |
Plan administrator’s name |
TAPEMARK COMPANY |
Plan administrator’s
address |
1685 MARTHALER LANE, WEST ST. PAUL, MN, 55118 |
Administrator’s telephone number |
6514508486 |
Number of participants as of the end of the plan year
Active participants |
165 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-06-29 |
Name of individual signing |
PAT MORK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|