GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2021
|
411000577
|
2022-04-28
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2022-04-28 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-28 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2020
|
411000577
|
2021-07-30
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-30 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2019
|
411000577
|
2020-04-08
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 COUNTY HIGHWAY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2020-04-08 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-08 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2018
|
411000577
|
2019-03-13
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2019-03-13 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-13 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2017
|
411000577
|
2018-04-23
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2018-04-23 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-23 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2016
|
411000577
|
2017-05-23
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2017-05-23 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-23 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2015
|
411000577
|
2016-09-29
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2016-09-29 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-29 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2014
|
411000577
|
2015-09-11
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-11 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2013
|
411000577
|
2014-05-15
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2014-05-15 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-15 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY HEALTH CLINIC, LTD. 401(K) PROFIT SHARING PLAN
|
2012
|
411000577
|
2013-04-24
|
GATEWAY FAMILY HEALTH CLINIC, LTD.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-10-31
|
Business code |
621111
|
Sponsor’s telephone number |
2184854491
|
Plan sponsor’s
address |
4570 CTY HWY 61, MOOSE LAKE, MN, 55767
|
Signature of
Role |
Plan administrator |
Date |
2013-04-24 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-24 |
Name of individual signing |
ERIC NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|