CRITICAL CARE SERVICES, INC. 401(K) PLAN
|
2018
|
411518013
|
2019-07-29
|
CRITICAL CARE SERVICES, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
6126384900
|
Plan
sponsor’s DBA name |
LIFE LINK III
|
Plan sponsor’s
address |
3010 BROADWAY STREET NE, MINNEAPOLIS, MN, 554131781
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-29 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE SERVICES, INC. 401(K) PLAN
|
2017
|
411518013
|
2018-06-29
|
CRITICAL CARE SERVICES, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
6126384900
|
Plan
sponsor’s DBA name |
LIFE LINK III
|
Plan sponsor’s
address |
3010 BROADWAY STREET NE, MINNEAPOLIS, MN, 554131781
|
Signature of
Role |
Plan administrator |
Date |
2018-06-29 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE SERVICES, INC. 401(K) PLAN
|
2016
|
411518013
|
2017-07-06
|
CRITICAL CARE SERVICES, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
6126384900
|
Plan
sponsor’s DBA name |
LIFE LINK III
|
Plan sponsor’s
address |
3010 BROADWAY STREET NE, MINNEAPOLIS, MN, 554131781
|
Signature of
Role |
Plan administrator |
Date |
2017-07-06 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-06 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE SERVICES, INC. 401(K) PLAN
|
2015
|
411518013
|
2016-07-01
|
CRITICAL CARE SERVICES, INC.
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
6126384900
|
Plan
sponsor’s DBA name |
LIFE LINK III
|
Plan sponsor’s
address |
3010 BROADWAY STREET NE, MINNEAPOLIS, MN, 554131781
|
Signature of
Role |
Plan administrator |
Date |
2016-07-01 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-01 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE SERVICES, INC. 401(K) PLAN
|
2014
|
411518013
|
2015-07-08
|
CRITICAL CARE SERVICES, INC.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
6126384900
|
Plan sponsor’s
address |
3010 BROADWAY STREET NE, MINNEAPOLIS, MN, 554131781
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-08 |
Name of individual signing |
ROBERT SANNERUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|