|
ELYSIAN SENIOR HOMES 401(K) PLAN
|
2023
|
832009129
|
2024-03-27
|
ELYSIAN SENIOR HOMES, LLC
|
83
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6513272729
|
| Plan sponsor’s
address |
434 W 4TH STREET, SUITE E, RED WING, MN, 55066
|
Signature of
| Role |
Plan administrator |
| Date |
2024-03-27 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-03-27 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELYSIAN SENIOR HOMES 401(K) PLAN
|
2022
|
832009129
|
2023-04-20
|
ELYSIAN SENIOR HOMES, LLC
|
63
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6513272729
|
| Plan sponsor’s
address |
434 W 4TH STREET, SUITE E, RED WING, MN, 55066
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-20 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-04-20 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELYSIAN SENIOR HOMES 401(K) PLAN
|
2021
|
832009129
|
2022-08-22
|
ELYSIAN SENIOR HOMES, LLC
|
40
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6513272729
|
| Plan sponsor’s
address |
434 W 4TH STREET, SUITE E, RED WING, MN, 55066
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-22 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-08-22 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELYSIAN SENIOR HOMES 401(K) PLAN
|
2021
|
832009129
|
2022-08-22
|
ELYSIAN SENIOR HOMES, LLC
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6513272729
|
| Plan sponsor’s
address |
434 W 4TH STREET, SUITE E, RED WING, MN, 55066
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-22 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-08-22 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELYSIAN SENIOR HOMES 401(K) PLAN
|
2020
|
832009129
|
2021-07-16
|
ELYSIAN SENIOR HOMES, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6513272729
|
| Plan sponsor’s
address |
434 W 4TH STREET, SUITE E, RED WING, MN, 55066
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-16 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-16 |
| Name of individual signing |
MELISSA GREENE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
