RIVERWOOD HEALTHCARE CENTER BASIC LIFE PLAN
|
2023
|
410745522
|
2024-07-31
|
AITKIN COMMUNITY HOSPITAL, INC.
|
409
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
434 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
JESSICA SCHMIESING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER BASIC LIFE PLAN
|
2022
|
410745522
|
2023-09-13
|
AITKIN COMMUNITY HOSPITAL, INC.
|
400
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
408 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-09-13 |
Name of individual signing |
LEE REICHENBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER BASIC LIFE PLAN
|
2021
|
410745522
|
2022-07-13
|
AITKIN COMMUNITY HOSPITAL, INC.
|
392
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
397 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2022-07-13 |
Name of individual signing |
LEE REICHENBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER BASIC LIFE PLAN
|
2020
|
410745522
|
2021-07-19
|
AITKIN COMMUNITY HOSPITAL, INC.
|
358
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
392 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-19 |
Name of individual signing |
LEE REICHENBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER LIFE AND AD&D PLAN
|
2019
|
410745522
|
2020-07-22
|
AITKIN COMMUNITY HOSPITAL, INC.
|
279
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
354 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
LEE REICHENBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER LIFE AND AD&D PLAN
|
2018
|
410745522
|
2019-07-29
|
AITKIN COMMUNITY HOSPITAL, INC.
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
273 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
MARY JO BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER LIFE AND AD&D PLAN
|
2017
|
410745522
|
2018-07-27
|
AITKIN COMMUNITY HOSPITAL, INC.
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
338 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
MARY JO BERVEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER LIFE AND AD&D PLAN
|
2016
|
410745522
|
2017-07-17
|
AITKIN COMMUNITY HOSPITAL, INC.
|
304
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Active participants |
338 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
CINDI HILLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER LIFE AND AD&D PLAN
|
2015
|
410745522
|
2016-06-23
|
AITKIN COMMUNITY HOSPITAL, INC.
|
323
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
CINDI HILLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-22 |
Name of individual signing |
CINDI HILLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERWOOD HEALTHCARE CENTER LIFE AND AD&D PLAN
|
2014
|
410745522
|
2015-07-15
|
AITKIN COMMUNITY HOSPITAL, INC.
|
323
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2189275592
|
Plan
sponsor’s DBA name |
RIVERWOOD HEALTHCARE CENTER
|
Plan sponsor’s mailing address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Plan sponsor’s
address |
200 BUNKER HILL DRIVE, AITKIN, MN, 56431
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
CINDI HILLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|