|
NORTH COUNTRY HOME CARE 401(K) PLAN
|
2023
|
204551967
|
2024-04-11
|
NORTH COUNTRY HOME CARE II, INC.
|
97
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7638569955
|
| Plan sponsor’s
address |
12567 - 5TH AVENUE NORTH, SUITE 100, ZIMMERMAN, MN, 55398
|
Signature of
| Role |
Plan administrator |
| Date |
2024-04-11 |
| Name of individual signing |
JENNA TOTTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-04-11 |
| Name of individual signing |
JENNA TOTTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTH COUNTRY HOME CARE 401(K) PLAN
|
2022
|
204551967
|
2023-04-12
|
NORTH COUNTRY HOME CARE II, INC.
|
91
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7638569955
|
| Plan sponsor’s
address |
12567 - 5TH AVENUE NORTH, SUITE 100, ZIMMERMAN, MN, 55398
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-12 |
| Name of individual signing |
JENNA TOTTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-04-12 |
| Name of individual signing |
JENNA TOTTEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTH COUNTRY HOME CARE 401(K) PLAN
|
2021
|
204551967
|
2022-02-02
|
NORTH COUNTRY HOME CARE II, INC.
|
95
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7638569955
|
| Plan sponsor’s
address |
12567 - 5TH AVENUE NORTH, SUITE 100, ZIMMERMAN, MN, 55398
|
Signature of
| Role |
Plan administrator |
| Date |
2022-02-02 |
| Name of individual signing |
JUDY CLICHE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-02-02 |
| Name of individual signing |
JUDY CLICHE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTH COUNTRY HOME CARE 401(K) PLAN
|
2020
|
204551967
|
2021-04-01
|
NORTH COUNTRY HOME CARE II, INC.
|
79
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7638569955
|
| Plan sponsor’s
address |
12567 - 5TH AVENUE NORTH, SUITE 100, ZIMMERMAN, MN, 55398
|
Signature of
| Role |
Plan administrator |
| Date |
2021-04-01 |
| Name of individual signing |
JUDY CLICHE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-04-01 |
| Name of individual signing |
JUDY CLICHE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTH COUNTRY HOME CARE 401(K) PLAN
|
2019
|
204551967
|
2020-07-02
|
NORTH COUNTRY HOME CARE II, INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7638569955
|
| Plan sponsor’s
address |
12567 - 5TH AVENUE NORTH, SUITE 100, ZIMMERMAN, MN, 55398
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-01 |
| Name of individual signing |
JUDY CLICHE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-01 |
| Name of individual signing |
JUDY CLICHE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
