WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2023
|
411351830
|
2024-07-30
|
WARROAD CARE CENTER INC
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2024-07-30 |
Name of individual signing |
TAMMY CONEKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2020
|
411351830
|
2021-10-13
|
WARROAD CARE CENTER INC
|
109
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
MARK BERTILRUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2020
|
411351830
|
2023-10-16
|
WARROAD CARE CENTER INC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
MARK BERTILRUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2019
|
411351830
|
2020-07-30
|
WARROAD CARE CENTER INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
MARK BERTILRUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2018
|
411351830
|
2019-10-15
|
WARROAD CARE CENTER INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
MARK BERTILRUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2017
|
411351830
|
2018-10-04
|
WARROAD CARE CENTER INC.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
MARK BERTILRUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2017
|
411351830
|
2018-10-03
|
WARROAD CARE CENTER INC.
|
119
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2018-10-03 |
Name of individual signing |
MARK BERTILRUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2016
|
411351830
|
2017-09-19
|
WARROAD CARE CENTER INC
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2017-09-19 |
Name of individual signing |
MARK BERTILRUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2015
|
411351830
|
2016-08-26
|
WARROAD CARE CENTER INC
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2016-08-26 |
Name of individual signing |
MARTHA JANZEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WARROAD CARE CENTER INC. EMPLOYEES RETIREMENT PLAN
|
2014
|
411351830
|
2015-07-28
|
WARROAD CARE CENTER INC.
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
2183861235
|
Plan sponsor’s
address |
1401 LAKE STREET NW, WARROAD, MN, 567632342
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
MARTHA YANETH JANZEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
EMILY STRAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|