|
HOME AT HEART CARE, INC. 401(K) PLAN
|
2023
|
208736804
|
2024-04-15
|
HOME AT HEART CARE, INC.
|
145
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
2187763508
|
| Plan sponsor’s
address |
221-3RD AVENUE SW, CLEARBROOK, MN, 56634
|
Signature of
| Role |
Plan administrator |
| Date |
2024-04-15 |
| Name of individual signing |
TROY MCQUOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-04-15 |
| Name of individual signing |
TROY MCQUOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOME AT HEART CARE, INC. 401(K) PLAN
|
2013
|
208736804
|
2014-12-01
|
HOME AT HEART CARE, INC.
|
119
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
2187763508
|
| Plan sponsor’s
address |
221 - 3RD AVENUE SW, CLEARBROOK, MN, 56634
|
Signature of
| Role |
Plan administrator |
| Date |
2014-12-01 |
| Name of individual signing |
TROY MCQUOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOME AT HEART CARE, INC. 401(K) PLAN
|
2013
|
208736804
|
2014-10-15
|
HOME AT HEART CARE, INC.
|
76
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
2187763508
|
| Plan sponsor’s
address |
221 - 3RD AVENUE SW, CLEARBROOK, MN, 56634
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-15 |
| Name of individual signing |
TROY MCQUOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOME AT HEART CARE, INC. 401(K) PLAN
|
2012
|
208736804
|
2013-10-15
|
HOME AT HEART CARE, INC.
|
76
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
2187763508
|
| Plan sponsor’s
address |
221 - 3RD AVENUE SW, CLEARBROOK, MN, 56634
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
TROY MCQUOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOME AT HEART CARE, INC. 401(K) PLAN
|
2011
|
208736804
|
2012-10-16
|
HOME AT HEART CARE, INC.
|
76
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
2187763508
|
| Plan sponsor’s
address |
221 - 3RD AVENUE SW, CLEARBROOK, MN, 56634
|
Plan administrator’s name and address
| Administrator’s EIN |
208736804 |
| Plan administrator’s name |
HOME AT HEART CARE, INC. |
| Plan administrator’s
address |
221 - 3RD AVENUE SW, CLEARBROOK, MN, 56634 |
| Administrator’s telephone number |
2187763508 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
TROY MCQUOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
