403(B) THRIFT PLAN FOR EMPLOYEES OF SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
2023
|
410914354
|
2024-07-31
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
117 S SPRING ST, LUVERNE, MN, 561561916
|
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403B THRIFT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
2022
|
410914354
|
2023-07-31
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
117 S SPRING ST, LUVERNE, MN, 561561916
|
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
2021
|
410914354
|
2022-04-20
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
117 S SPRING ST, LUVERNE, MN, 561561916
|
Signature of
Role |
Plan administrator |
Date |
2022-04-20 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
2020
|
410914354
|
2021-05-27
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
117 S SPRING ST, LUVERNE, MN, 561561916
|
Signature of
Role |
Plan administrator |
Date |
2021-05-27 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
2019
|
410914354
|
2020-03-11
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
117 S SPRING ST, LUVERNE, MN, 561561916
|
Signature of
Role |
Plan administrator |
Date |
2020-03-11 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
2018
|
410914354
|
2019-05-23
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
117 S SPRING ST, LUVERNE, MN, 561561916
|
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER,INC.
|
2017
|
410914354
|
2018-02-16
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-12-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
PO BOX 686, LUVERNE, MN, 56156
|
Signature of
Role |
Plan administrator |
Date |
2018-02-16 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-02-16 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403 B THRIFT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER INC
|
2017
|
410914354
|
2018-06-08
|
SOUTHWESTERN MENTAL HEALTH CENTER INC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
117 S SPRING ST, LUVERNE, MN, 561561916
|
Signature of
Role |
Plan administrator |
Date |
2018-06-08 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-08 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER,INC.
|
2016
|
410914354
|
2017-05-01
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-12-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
PO BOX 686, LUVERNE, MN, 56156
|
Signature of
Role |
Plan administrator |
Date |
2017-05-01 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-01 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF SOUTHWESTERN MENTAL HEALTH CENTER,INC.
|
2016
|
410914354
|
2017-05-01
|
SOUTHWESTERN MENTAL HEALTH CENTER, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-12-01
|
Business code |
621420
|
Sponsor’s telephone number |
5072839511
|
Plan sponsor’s
address |
PO BOX 686, LUVERNE, MN, 56156
|
Signature of
Role |
Plan administrator |
Date |
2017-05-01 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-01 |
Name of individual signing |
DENNIS GYBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|