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VOLUNTEER FIREFIGHTERS RELIEF ASSOCIATION <br />REPORTING FORM LS <br />FOR THE YEAR ENDED DECEMBER 31, 1992 <br />(FOR USE BY VOLUNTEER ASSOCIATIONS PAYING LUMP SUM SERVICE PENSIONS) <br />General Information: <br />Little Canada Firemen's Relief Association Ramsey <br />Association Name <br />440 Little Canada Road St. Paul, MN 55117 <br />County <br />M <br />M&. nadms <br />Bob DeBace <br />Contact Penon <br />Association Information: <br />The fire department your relief association is associated with is: <br />Municipal Fire Department <br />X Independent Nonprofit Firefighting Corporation. <br />Number of active members of your fire department 36 <br />Membership Information <br />36 Number of active members <br />-- Number of retired and /or disabled members receiving benefits <br />3 Number of retired members on deferred pension rolls <br />39 Total membership <br />Benefits Information <br />Type of Service Pension Benefit <br />X Lump Sum <br />Defined Contribution(split the pie) <br />No benefit provided <br />Other (specify) <br />Monthly service pension <br />(Stop. If you did not check lump sum service pension, you are using the wrong form) <br />Other Benefits <br />Short Term Disability <br />Long Term Disability <br />Death Benefit <br />Survivor Benefit <br />Page 19 <br />Amount <br />e2 non nor year of service <br />2,000 oer year of service <br />