|
ELDERMARK 401K PLAN
|
2009
|
411817124
|
2010-07-14
|
ELDERMARK
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-08-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
9529312219
|
| Plan sponsor’s
address |
12400 WHITEWATER DRIVE SUITE 175, MINNETONKA, MN, 55343
|
Plan administrator’s name and address
| Administrator’s EIN |
411817124 |
| Plan administrator’s name |
ELDERMARK |
| Administrator’s telephone number |
9529312219 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-30 |
| Name of individual signing |
CRAIG PATNODE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELDERMARK 401K PLAN
|
2009
|
411817124
|
2010-07-14
|
ELDERMARK
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-08-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
9529312219
|
| Plan sponsor’s
address |
12400 WHITEWATER DRIVE SUITE 175, MINNETONKA, MN, 55343
|
Plan administrator’s name and address
| Administrator’s EIN |
411817124 |
| Plan administrator’s name |
ELDERMARK |
| Administrator’s telephone number |
9529312219 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
2 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-30 |
| Name of individual signing |
CRAIG PATNODE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELDERMARK 401K PLAN
|
2009
|
411817124
|
2010-07-02
|
ELDERMARK
|
0
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-08-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
9529312219
|
| Plan sponsor’s
address |
12400 WHITEWATER DRIVE SUITE 175, MINNETONKA, MN, 55343
|
Plan administrator’s name and address
| Administrator’s EIN |
411817124 |
| Plan administrator’s name |
ELDERMARK |
| Administrator’s telephone number |
9529312219 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-30 |
| Name of individual signing |
CRAIG PATNODE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
ELDERMARK 401K PLAN
|
2009
|
411817124
|
2010-07-02
|
ELDERMARK
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-08-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
9529312219
|
| Plan sponsor’s
address |
12400 WHITEWATER DRIVE SUITE 175, MINNETONKA, MN, 55343
|
Plan administrator’s name and address
| Administrator’s EIN |
411817124 |
| Plan administrator’s name |
ELDERMARK |
| Administrator’s telephone number |
9529312219 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
2 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-30 |
| Name of individual signing |
CRAIG PATNODE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
