| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
9522595233
|
| Plan sponsor’s mailing address |
4509 MINNETONKA BLVD., ST. LOUIS PARK, MN, 55416
|
| Plan sponsor’s
address |
4509 MINNETONKA BLVD., ST. LOUIS PARK, MN, 55416
|
Plan administrator’s name and address
| Administrator’s EIN |
411757269 |
| Plan administrator’s name |
AVIV HEALTH CARE, INC. |
| Plan administrator’s
address |
4509 MINNETONKA BLVD., ST. LOUIS PARK, MN, 55416 |
| Administrator’s telephone number |
9522595233 |
Number of participants as of the end of the plan year
| Active participants |
344 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
20 |
| 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 |
96 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-29 |
| Name of individual signing |
TONY PASELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
