LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2023
|
411928097
|
2024-02-13
|
LAKEWOODS CHIROPRACTIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6513299161
|
Plan sponsor’s
address |
255 HIGHWAY 97 #2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2024-02-13 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-02-13 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2022
|
411928097
|
2023-06-28
|
LAKEWOODS CHIROPRACTIC, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6514640800
|
Plan sponsor’s
address |
255 HIGHWAY 97 #2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-28 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2021
|
411928097
|
2022-06-06
|
LAKEWOODS CHIROPRACTIC, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6514640800
|
Plan sponsor’s
address |
255 HIGHWAY 97 #2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2022-06-06 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-06 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2020
|
411928097
|
2021-09-21
|
LAKEWOODS CHIROPRACTIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6514640800
|
Plan sponsor’s
address |
255 HIGHWAY 97 #2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2021-09-21 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-21 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2019
|
411928097
|
2020-09-17
|
LAKEWOODS CHIROPRACTIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6514640800
|
Plan sponsor’s
address |
255 HIGHWAY 97 #2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2020-09-17 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-17 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2018
|
411928097
|
2019-10-01
|
LAKEWOODS CHIROPRACTIC, P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6514640800
|
Plan sponsor’s
address |
255 HIGHWAY 97, SUITE 2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
JASON GERAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2018
|
411928097
|
2019-10-01
|
LAKEWOODS CHIROPRACTIC, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6514640800
|
Plan sponsor’s
address |
255 HIGHWAY 97, SUITE 2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
JASON GERARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEWOODS CHIROPRACTIC, INC. SAFE HARBOR 401(K) PLAN
|
2017
|
411928097
|
2018-07-11
|
LAKEWOODS CHIROPRACTIC, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621310
|
Sponsor’s telephone number |
6514640800
|
Plan sponsor’s
address |
255 HIGHWAY 97, SUITE 2A, FOREST LAKE, MN, 55025
|
Signature of
Role |
Plan administrator |
Date |
2018-07-11 |
Name of individual signing |
JASON GERAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|