|
WELLY HEALTH PBC 401(K) PLAN
|
2023
|
825162867
|
2024-06-12
|
WELLY HEALTH PBC
|
55
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
551112
|
| Sponsor’s telephone number |
6123660318
|
| Plan sponsor’s
address |
700 NICOLLET MALL, SUITE 800, MINNEAPOLIS, MN, 55402
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2024-06-12 |
| Name of individual signing |
QIAN LIU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WELLY HEALTH PBC 401(K) PLAN
|
2022
|
825162867
|
2023-06-07
|
WELLY HEALTH PBC
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
551112
|
| Sponsor’s telephone number |
6123660318
|
| Plan sponsor’s
address |
1600 UTICA AVE S, SUITE 900, ST. LOUIS PARK, MN, 55416
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2023-06-07 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WELLY HEALTH PBC 401(K) PLAN
|
2021
|
825162867
|
2022-05-24
|
WELLY HEALTH PBC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
551112
|
| Sponsor’s telephone number |
6123660318
|
| Plan sponsor’s
address |
1600 UTICA AVE S, SUITE 900, ST. LOUIS PARK, MN, 55416
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2022-05-24 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WELLY HEALTH PBC 401(K) PLAN
|
2020
|
825162867
|
2021-05-11
|
WELLY HEALTH PBC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
551112
|
| Sponsor’s telephone number |
6127153303
|
| Plan sponsor’s
address |
729 N. WASHINGTON AVE,, SUITE 600, MINNEAPOLIS, MN, 55401
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2021-05-11 |
| Name of individual signing |
CAROL HO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WELLY HEALTH PBC 401(K) PLAN
|
2019
|
825162867
|
2020-05-06
|
WELLY HEALTH PBC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
551112
|
| Sponsor’s telephone number |
6127153303
|
| Plan sponsor’s
address |
729 N. WASHINGTON AVE,, SUITE 600, MINNEAPOLIS, MN, 55401
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2020-05-06 |
| Name of individual signing |
CAROL HO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
