THREE LINKS CARE CENTER LIFE INSURANCE PROGRAM
|
2017
|
410713909
|
2018-06-11
|
THREE LINKS CARE CENTER
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1998-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5076648800
|
Plan sponsor’s mailing address |
815 FOREST AVE, NORTHFIELD, MN, 550571643
|
Plan sponsor’s
address |
815 FOREST AVE, NORTHFIELD, MN, 550571643
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-11 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-11 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THREE LINKS CARE CENTER LIFE INSURANCE PROGRAM
|
2016
|
410713909
|
2017-06-07
|
THREE LINKS CARE CENTER
|
176
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1998-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5076648800
|
Plan sponsor’s mailing address |
815 FOREST AVE, NORTHFIELD, MN, 550571643
|
Plan sponsor’s
address |
815 FOREST AVE, NORTHFIELD, MN, 550571643
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-07 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-07 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THREE LINKS CARE CENTER LIFE INSURANCE PROGRAM
|
2015
|
410713909
|
2016-04-04
|
THREE LINKS CARE CENTER
|
181
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1998-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5076648800
|
Plan sponsor’s mailing address |
815 FOREST AVE, NORTHFIELD, MN, 550571643
|
Plan sponsor’s
address |
815 FOREST AVE, NORTHFIELD, MN, 550571643
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-04-04 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-04 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THREE LINKS CARE CENTER LIFE INSURANCE PROGRAM
|
2014
|
410713909
|
2015-05-07
|
THREE LINKS CARE CENTER
|
166
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1998-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5076648800
|
Plan sponsor’s mailing address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Plan sponsor’s
address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-05-07 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-07 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THREE LINKS CARE CENTER LIFE INSURANCE PROGRAM
|
2013
|
410713909
|
2014-07-08
|
THREE LINKS CARE CENTER
|
168
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1998-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5076648800
|
Plan sponsor’s mailing address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Plan sponsor’s
address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-08 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THREE LINKS CARE CENTER LIFE INSURANCE PROGRAM
|
2012
|
410713909
|
2013-07-09
|
THREE LINKS CARE CENTER
|
168
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1998-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5076648800
|
Plan sponsor’s mailing address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Plan sponsor’s
address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Plan administrator’s name and address
Administrator’s EIN |
410713909 |
Plan administrator’s name |
THREE LINKS CARE CENTER |
Administrator’s telephone number |
5076648800 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THREE LINKS CARE CENTER LIFE INSURANCE PROGRAM
|
2011
|
410713909
|
2012-07-03
|
THREE LINKS CARE CENTER
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
599
|
Effective date of plan |
1998-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5076648800
|
Plan sponsor’s mailing address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Plan sponsor’s
address |
815 FOREST AVE, NORTHFIELD, MN, 55057
|
Plan administrator’s name and address
Administrator’s EIN |
410713909 |
Plan administrator’s name |
THREE LINKS CARE CENTER |
Plan administrator’s
address |
815 FOREST AVE, NORTHFIELD, MN, 55057 |
Administrator’s telephone number |
5076648800 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-03 |
Name of individual signing |
JEFFREY KING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|