|
LEGACY HOME HEALTH CARE, INC. 401(K) PLAN
|
2023
|
261601497
|
2024-06-05
|
LEGACY HOME HEALTH CARE, INC.
|
206
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7632676648
|
| Plan sponsor’s
address |
800 BOONE AVENUE NORTH, GOLDEN VALLEY, MN, 55427
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-05 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY HOME HEALTH CARE, INC. 401(K) PLAN
|
2022
|
261601497
|
2024-01-19
|
LEGACY HOME HEALTH CARE, INC.
|
43
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7632676648
|
| Plan sponsor’s
address |
800 BOONE AVENUE NORTH, GOLDEN VALLEY, MN, 55427
|
Signature of
| Role |
Plan administrator |
| Date |
2024-01-19 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY HOME HEALTH CARE, INC. 401(K) PLAN
|
2021
|
261601497
|
2022-06-16
|
LEGACY HOME HEALTH CARE, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7634178888
|
| Plan sponsor’s
address |
800 BOONE AVENUE NORTH #180, GOLDEN VALLEY, MN, 55427
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-16 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-06-16 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY HOME HEALTH CARE, INC. 401(K) PLAN
|
2020
|
261601497
|
2021-02-02
|
LEGACY HOME HEALTH CARE, INC.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7634178888
|
| Plan sponsor’s
address |
800 BOONE AVENUE NORTH #180, GOLDEN VALLEY, MN, 55427
|
Signature of
| Role |
Plan administrator |
| Date |
2021-02-01 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-02-01 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY HOME HEALTH CARE, INC. 401(K) PLAN
|
2019
|
261601497
|
2020-06-08
|
LEGACY HOME HEALTH CARE, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7634178888
|
| Plan sponsor’s
address |
800 BOONE AVENUE NORTH #180, GOLDEN VALLEY, MN, 55427
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-08 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-06-08 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY HOME HEALTH CARE, INC. 401(K) PLAN
|
2018
|
261601497
|
2020-01-02
|
LEGACY HOME HEALTH CARE, INC.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7634178888
|
| Plan sponsor’s
address |
800 BOONE AVENUE N., STE 200, GOLDEN VALLEY, MN, 55427
|
Signature of
| Role |
Plan administrator |
| Date |
2020-01-02 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-01-02 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEGACY HOME HEALTH CARE, INC. 401(K) PLAN
|
2018
|
261601497
|
2019-06-12
|
LEGACY HOME HEALTH CARE, INC.
|
8
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7634178888
|
| Plan sponsor’s
address |
800 BOONE AVENUE N., STE 200, GOLDEN VALLEY, MN, 55427
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-12 |
| Name of individual signing |
JENNIFER MATHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
