CERENITY SENIOR CARE EMPLOYEE RETIREMENT PLAN
|
2012
|
363517696
|
2013-10-08
|
CERENITY SENIOR CARE
|
1639
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512598668
|
Plan sponsor’s mailing address |
6063 HUDSON ROAD, SUITE 300, WOODBURY, MN, 55125
|
Plan sponsor’s
address |
6063 HUDSON ROAD, SUITE 300, WOODBURY, MN, 55125
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
6063 HUDSON ROAD, SUITE 300, WOODBURY, MN, 55125 |
Administrator’s telephone number |
6512598668 |
Number of participants as of the end of the plan year
Active participants |
1137 |
Retired or separated participants receiving
benefits |
12 |
Other
retired or separated participants entitled to future benefits |
634 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
1206 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
63 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE 403(B) PLAN
|
2012
|
363517696
|
2013-10-08
|
CERENITY SENIOR CARE
|
2282
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512598668
|
Plan sponsor’s mailing address |
6063 HUDSON ROAD, SUITE 300, WOODBURY, MN, 55125
|
Plan sponsor’s
address |
6063 HUDSON ROAD, SUITE 300, WOODBURY, MN, 55125
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
6063 HUDSON ROAD, SUITE 300, WOODBURY, MN, 55125 |
Administrator’s telephone number |
6512598668 |
Number of participants as of the end of the plan year
Active participants |
1092 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
507 |
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 |
1404 |
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 |
2013-10-08 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE 403(B) PLAN
|
2011
|
363517696
|
2012-10-10
|
CERENITY SENIOR CARE
|
2391
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512326166
|
Plan sponsor’s mailing address |
200 EARL ST, SAINT PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL ST, SAINT PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
200 EARL ST, SAINT PAUL, MN, 55106 |
Administrator’s telephone number |
6512326166 |
Number of participants as of the end of the plan year
Active participants |
987 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
1287 |
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 |
2083 |
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 |
2012-10-10 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE EMPLOYEE RETIREMENT PLAN
|
2011
|
363517696
|
2012-10-10
|
CERENITY SENIOR CARE
|
1975
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512326166
|
Plan sponsor’s mailing address |
200 EARL ST, ST. PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL ST, ST. PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
200 EARL ST, ST. PAUL, MN, 55106 |
Administrator’s telephone number |
6512326166 |
Number of participants as of the end of the plan year
Active participants |
1008 |
Retired or separated participants receiving
benefits |
12 |
Other
retired or separated participants entitled to future benefits |
617 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
1183 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
114 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE HEALTH AND WELFARE PLAN
|
2011
|
363517696
|
2012-10-10
|
CERENITY SENIOR CARE
|
1100
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6517932169
|
Plan sponsor’s mailing address |
MARIAN RESIDENCE AND CARE CENTER, ST. PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL STREET, ST. PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
MARIAN RESIDENCE AND CARE CENTER, ST. PAUL, MN, 55106 |
Administrator’s telephone number |
6517932169 |
Number of participants as of the end of the plan year
Active participants |
1100 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE 403(B) PLAN
|
2010
|
363517696
|
2011-10-13
|
CERENITY SENIOR CARE
|
2591
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512326166
|
Plan sponsor’s mailing address |
200 EARL ST, SAINT PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL ST, SAINT PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
200 EARL ST, SAINT PAUL, MN, 55106 |
Administrator’s telephone number |
6512326166 |
Number of participants as of the end of the plan year
Active participants |
1548 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
838 |
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 |
1945 |
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 |
2011-10-13 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE EMPLOYEE RETIREMENT PLAN
|
2010
|
363517696
|
2011-10-13
|
CERENITY SENIOR CARE
|
1153
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512326166
|
Plan sponsor’s mailing address |
200 EARL ST, ST. PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL ST, ST. PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
200 EARL ST, ST. PAUL, MN, 55106 |
Administrator’s telephone number |
6512326166 |
Number of participants as of the end of the plan year
Active participants |
1605 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
362 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
1164 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
64 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE EMPLOYEE RETIREMENT PLAN
|
2010
|
363517696
|
2011-10-11
|
CERENITY SENIOR CARE
|
1153
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512326166
|
Plan sponsor’s mailing address |
200 EARL ST, ST. PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL ST, ST. PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
200 EARL ST, ST. PAUL, MN, 55106 |
Administrator’s telephone number |
6512326166 |
Number of participants as of the end of the plan year
Active participants |
1605 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
362 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
1164 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
64 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE HEALTH AND WELFARE PLAN
|
2010
|
363517696
|
2011-10-11
|
CERENITY SENIOR CARE
|
1100
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2005-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6517932169
|
Plan sponsor’s mailing address |
MARIAN RESIDENCE AND CARE CENTER, ST. PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL STREET, ST. PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
MARIAN RESIDENCE AND CARE CENTER, ST. PAUL, MN, 55106 |
Administrator’s telephone number |
6517932169 |
Number of participants as of the end of the plan year
Active participants |
1100 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CERENITY SENIOR CARE 403(B) PLAN
|
2010
|
363517696
|
2011-10-11
|
CERENITY SENIOR CARE
|
2591
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512326166
|
Plan sponsor’s mailing address |
200 EARL ST, SAINT PAUL, MN, 55106
|
Plan sponsor’s
address |
200 EARL ST, SAINT PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
363517696 |
Plan administrator’s name |
CERENITY SENIOR CARE |
Plan administrator’s
address |
200 EARL ST, SAINT PAUL, MN, 55106 |
Administrator’s telephone number |
6512326166 |
Number of participants as of the end of the plan year
Active participants |
1548 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
838 |
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 |
1945 |
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 |
2011-10-11 |
Name of individual signing |
VICKI HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|