NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2023
|
450309198
|
2024-07-05
|
NORDIC FIBERGLASS, INC.
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan sponsor’s mailing address |
PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, WARREN, MN, 56762
|
Number of participants as of the end of the plan year
Active participants |
118 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2024-07-05 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-05 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2022
|
450309198
|
2023-06-07
|
NORDIC FIBERGLASS, INC.
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan sponsor’s mailing address |
PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, WARREN, MN, 56762
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-07 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-07 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2021
|
450309198
|
2022-06-29
|
NORDIC FIBERGLASS, INC.
|
125
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan sponsor’s mailing address |
PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, WARREN, MN, 56762
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-29 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-29 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2020
|
450309198
|
2021-03-30
|
NORDIC FIBERGLASS, INC.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan
sponsor’s DBA name |
NORDIC FIBERGLASS, INC.
|
Plan sponsor’s mailing address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-03-30 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-30 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2019
|
450309198
|
2020-05-29
|
NORDIC FIBERGLASS, INC.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan
sponsor’s DBA name |
NORDIC FIBERGLASS, INC.
|
Plan sponsor’s mailing address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-05-29 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-29 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2018
|
450309198
|
2019-06-11
|
NORDIC FIBERGLASS, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan
sponsor’s DBA name |
NORDIC FIBERGLASS, INC.
|
Plan sponsor’s mailing address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-11 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2017
|
450309198
|
2018-06-27
|
NORDIC FIBERGLASS, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan sponsor’s mailing address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT , INC.
|
2016
|
450309198
|
2017-06-26
|
NORDIC FIBERGLASS, INC.
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan sponsor’s mailing address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Number of participants as of the end of the plan year
Active participants |
116 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2017-06-26 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2015
|
450309198
|
2016-07-18
|
NORDIC FIBERGLASS, INC.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan sponsor’s mailing address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Plan sponsor’s
address |
21415 US HWY 75 NW, PO BOX 27, WARREN, MN, 567620027
|
Number of participants as of the end of the plan year
Active participants |
115 |
Retired or separated participants receiving
benefits |
1 |
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 |
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIC FIBERGLASS, INC. HEALTH CARE REIMBURSEMENT, INC.
|
2014
|
450309198
|
2015-07-10
|
NORDIC FIBERGLASS, INC
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-03-01
|
Business code |
339900
|
Sponsor’s telephone number |
2187455095
|
Plan sponsor’s mailing address |
21415 US HWY 75 NW, P.O. BOX 27, WARREN, MN, 56762
|
Plan sponsor’s
address |
21415 US HWY 75 NW, P.O. BOX 27, WARREN, MN, 56762
|
Number of participants as of the end of the plan year
Active participants |
112 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-10 |
Name of individual signing |
JAY TESCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|