LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2023
|
411804205
|
2024-07-11
|
LIFECARE MEDICAL CENTER
|
421
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Plan sponsor’s
address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-11 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-11 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2022
|
411804205
|
2023-07-06
|
LIFECARE MEDICAL CENTER
|
414
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Plan sponsor’s
address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-06 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2020
|
411804205
|
2021-05-12
|
LIFECARE MEDICAL CENTER
|
433
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Plan sponsor’s
address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-05-11 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-11 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2019
|
411804205
|
2020-05-20
|
LIFECARE MEDICAL CENTER
|
432
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Plan sponsor’s
address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-05-19 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2018
|
411804205
|
2019-07-26
|
LIFECARE MEDICAL CENTER
|
441
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Plan sponsor’s
address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2017
|
411804205
|
2018-05-30
|
LIFECARE MEDICAL CENTER
|
456
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Plan sponsor’s
address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-05-30 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2016
|
411804205
|
2017-05-31
|
LIFECARE MEDICAL CENTER
|
433
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Plan sponsor’s
address |
715 DELMORE DR, ROSEAU, MN, 567511534
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-05-31 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2015
|
411804205
|
2016-05-16
|
LIFECARE MEDICAL CENTER
|
440
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DRIVE, ROSEAU, MN, 56751
|
Plan sponsor’s
address |
715 DELMORE DRIVE, ROSEAU, MN, 56751
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-05-16 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2014
|
411804205
|
2015-05-29
|
LIFECARE MEDICAL CENTER
|
458
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DRIVE, ROSEAU, MN, 56751
|
Plan sponsor’s
address |
715 DELMORE DRIVE, ROSEAU, MN, 56751
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-05-29 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFECARE MEDICAL CENTER EMPLOYEE WELFARE BENEFIT PLAN
|
2013
|
411804205
|
2014-05-29
|
LIFECARE MEDICAL CENTER
|
450
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1995-10-01
|
Business code |
622000
|
Sponsor’s telephone number |
2184632500
|
Plan sponsor’s mailing address |
715 DELMORE DRIVE, ROSEAU, MN, 56751
|
Plan sponsor’s
address |
715 DELMORE DRIVE, ROSEAU, MN, 56751
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
CATHERINE HUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|