ARBOR LAKES SENIOR LIVING 401(K) PLAN
|
2014
|
271407845
|
2015-10-14
|
ARBOR LAKES SENIOR LIVING, LLC
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6514544789
|
Plan sponsor’s
address |
12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
LANCE LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
LANCE LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARBOR LAKES SENIOR LIVING 401(K) PLAN
|
2013
|
271407845
|
2014-10-07
|
ARBOR LAKES SENIOR LIVING, LLC
|
48
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6514544789
|
Plan sponsor’s
address |
12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
LANCE E. LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
LANCE E. LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARBOR LAKES SENIOR LIVING 401(K) PLAN
|
2013
|
271407845
|
2015-10-14
|
ARBOR LAKES SENIOR LIVING, LLC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6514544789
|
Plan sponsor’s
address |
12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
LANCE LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
LANCE LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARBOR LAKES SENIOR LIVING 401(K) PLAN
|
2012
|
271407845
|
2013-09-09
|
ARBOR LAKES SENIOR LIVING, LLC
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6514544789
|
Plan sponsor’s
address |
12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369
|
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
LANCE E LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-09 |
Name of individual signing |
LANCE E LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARBOR LAKES SENIOR LIVING 401(K) PLAN
|
2011
|
271407845
|
2012-10-11
|
ARBOR LAKES SENIOR LIVING, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6514544789
|
Plan sponsor’s
address |
12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
Administrator’s EIN |
271407845 |
Plan administrator’s name |
ARBOR LAKES SENIOR LIVING, LLC |
Plan administrator’s
address |
12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369 |
Administrator’s telephone number |
6514544789 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
LANCE LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
LANCE LEMIEUX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|