AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN
|
2023
|
411362696
|
2024-10-15
|
AICOTA HEALTH CARE CENTER, INC.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN
|
2023
|
411362696
|
2024-10-15
|
AICOTA HEALTH CARE CENTER, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN
|
2022
|
411362696
|
2023-06-21
|
AICOTA HEALTH CARE CENTER, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2023-06-21 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN
|
2022
|
411362696
|
2023-06-21
|
AICOTA HEALTH CARE CENTER, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2023-06-21 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN
|
2021
|
411362696
|
2022-06-27
|
AICOTA HEALTH CARE CENTER, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2022-06-27 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN
|
2021
|
411362696
|
2022-06-27
|
AICOTA HEALTH CARE CENTER, INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2022-06-27 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN
|
2020
|
411362696
|
2021-07-12
|
AICOTA HEALTH CARE CENTER, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2021-07-12 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN
|
2020
|
411362696
|
2021-07-12
|
AICOTA HEALTH CARE CENTER, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2021-07-12 |
Name of individual signing |
TYLER HOEMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. 401(K) PLAN
|
2019
|
411362696
|
2020-04-22
|
AICOTA HEALTH CARE CENTER, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2020-04-22 |
Name of individual signing |
ALISON MATALAMAKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AICOTA HEALTH CARE CENTER, INC. UNION 401(K) PLAN
|
2019
|
411362696
|
2020-04-22
|
AICOTA HEALTH CARE CENTER, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2189272164
|
Plan sponsor’s
address |
850 2ND STREET NW, AITKIN, MN, 56431
|
Signature of
Role |
Plan administrator |
Date |
2020-04-22 |
Name of individual signing |
ALISON MATALAMAKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|