ANGLOGOLD ASHANTI NORTH AMERICA INC. GROUP MEDICAL, DENTAL, VISION, LIFE AD&D, LTD AND BUSINESS TRAVEL
|
2019
|
841137980
|
2020-06-20
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890716
|
Plan sponsor’s mailing address |
4601 DTC BLVD, SUITE 550, DENVER, CO, 80237
|
Plan sponsor’s
address |
4601 DTC BLVD, SUITE 550, DENVER, CO, 80237
|
Number of participants as of the end of the plan year
Active participants |
35 |
Retired or separated participants receiving
benefits |
16 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2020-06-20 |
Name of individual signing |
DANIELLE TENNANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-20 |
Name of individual signing |
DANIELLE TENNANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. GROUP MEDICAL, DENTAL, VISION, LIFE, AD&D, LTD & BUSINESS TRAVEL
|
2018
|
841137980
|
2019-05-09
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890716
|
Plan sponsor’s mailing address |
4601 DTC BLVD STE 550, DENVER, CO, 802372575
|
Plan sponsor’s
address |
4601 DTC BLVD STE 550, DENVER, CO, 802372575
|
Number of participants as of the end of the plan year
Active participants |
34 |
Retired or separated participants receiving
benefits |
21 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2019-05-09 |
Name of individual signing |
DANIELLE TENNANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-09 |
Name of individual signing |
DANIELLE TENNANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. GROUP MEDICAL, DENTAL, VISION, LIFE, AD&D, LTD & BUSINESS TRAVEL
|
2017
|
841137980
|
2018-06-25
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890716
|
Plan sponsor’s mailing address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Plan sponsor’s
address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Number of participants as of the end of the plan year
Active participants |
38 |
Retired or separated participants receiving
benefits |
24 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2018-06-25 |
Name of individual signing |
DANIELLE TENNANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-25 |
Name of individual signing |
DANIELLE TENNANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. RETIREE MEDICAL PLAN
|
2017
|
841137980
|
2018-06-22
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890716
|
Plan sponsor’s mailing address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Plan sponsor’s
address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
30 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2018-06-22 |
Name of individual signing |
DANIELLE TENNANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. GROUP MEDICAL, VISION, DENTAL, LIFE, AD&D, LTD & BUSINESS TRAVEL ACCIDENT
|
2016
|
841137980
|
2017-06-19
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890788
|
Plan sponsor’s mailing address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Plan sponsor’s
address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Number of participants as of the end of the plan year
Active participants |
41 |
Retired or separated participants receiving
benefits |
23 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2017-06-19 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-19 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. RETIREE MEDICAL PLAN
|
2016
|
841137980
|
2017-06-19
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890788
|
Plan sponsor’s mailing address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Plan sponsor’s
address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
32 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2017-06-19 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-19 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. RETIREE MEDICAL PLAN
|
2015
|
841137980
|
2016-05-31
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890788
|
Plan sponsor’s mailing address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Plan sponsor’s
address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
33 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2016-05-31 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. GROUP MEDICAL, VISION, DENTAL, LIFE AD&D, LTD AND BUSINESS TRAVEL ACCIDENT
|
2015
|
841137980
|
2016-05-31
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
590
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890788
|
Plan sponsor’s mailing address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Plan sponsor’s
address |
6300 S SYRACUSE WAY STE 500, CENTENNIAL, CO, 801116725
|
Number of participants as of the end of the plan year
Active participants |
44 |
Retired or separated participants receiving
benefits |
40 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-05-31 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA INC. GROUP MEDICAL, VISION, DENTAL, LIFE AD&D, LTD AND BUSINESS TRAVEL ACCIDENT
|
2014
|
841137980
|
2015-08-20
|
ANGLOGOLD ASHANTI NORTH AMERICA INC.
|
598
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890788
|
Plan sponsor’s mailing address |
6300 SOUTH SYRACUSE WAY, SUITE 500, CENTENNIAL, CO, 80111
|
Plan sponsor’s
address |
6300 SOUTH SYRACUSE WAY, SUITE 500, CENTENNIAL, CO, 80111
|
Number of participants as of the end of the plan year
Active participants |
588 |
Retired or separated participants receiving
benefits |
44 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2015-08-20 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-20 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGLOGOLD ASHANTI NORTH AMERICA RETIREE MEDICAL PLAN
|
2013
|
841137980
|
2014-06-16
|
ANGLOGOLD ASHANTI NORTH AMERICA
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1994-04-01
|
Business code |
212200
|
Sponsor’s telephone number |
3038890788
|
Plan sponsor’s mailing address |
6300 SOUTH SYRACUSE WAY, SUITE 500, CENTENNIAL, CO, 80111
|
Plan sponsor’s
address |
6300 SOUTH SYRACUSE WAY, SUITE 500, CENTENNIAL, CO, 80111
|
Plan administrator’s name and address
Administrator’s EIN |
841137980 |
Plan administrator’s name |
ANGLOGOLD ASHANTI NORTH AMERICA |
Plan administrator’s
address |
6300 SOUTH SYRACUSE WAY, SUITE 500, CENTENNIAL, CO, 80111 |
Administrator’s telephone number |
3038890788 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
36 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-06-16 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-16 |
Name of individual signing |
CHARLENE WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|