MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN
|
2023
|
416031905
|
2024-07-16
|
MAPLETON COMMUNITY HOME
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN
|
2023
|
416031905
|
2024-07-16
|
MAPLETON COMMUNITY HOME
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN
|
2022
|
416031905
|
2023-10-10
|
MAPLETON COMMUNITY HOME
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN
|
2022
|
416031905
|
2023-10-10
|
MAPLETON COMMUNITY HOME
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN
|
2022
|
416031905
|
2023-09-29
|
MAPLETON COMMUNITY HOME
|
63
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2023-09-29 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN
|
2021
|
416031905
|
2022-10-05
|
MAPLETON COMMUNITY HOME
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2022-10-05 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN
|
2021
|
416031905
|
2022-10-05
|
MAPLETON COMMUNITY HOME
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2022-10-05 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN
|
2021
|
416031905
|
2022-10-05
|
MAPLETON COMMUNITY HOME
|
62
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2022-10-05 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN
|
2020
|
416031905
|
2021-10-14
|
MAPLETON COMMUNITY HOME
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN
|
2020
|
416031905
|
2021-10-14
|
MAPLETON COMMUNITY HOME
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
5074200053
|
Plan sponsor’s
address |
301 TROENDLE ST, MAPLETON, MN, 560650337
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
ROXANNE GOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|