|
BLOOMINGTON WELLNESS CENTER, PA 401(K) PROFIT SHARING PLAN
|
2023
|
470902905
|
2024-06-14
|
BLOOMINGTON WELLNESS CENTER, PA
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
9528812800
|
| Plan sponsor’s
address |
5143 WEST 98TH STREET, BLOOMINGTON, MN, 55437
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-14 |
| Name of individual signing |
DR. CORY EMBERLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLOOMINGTON WELLNESS CENTER PA 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
470902905
|
2023-10-26
|
BLOOMINGTON WELLNESS CENTER PA
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
9528812800
|
| Plan sponsor’s
address |
5143 W 98TH ST, BLOOMINGTON, MN, 55437
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-26 |
| Name of individual signing |
CORY EMBERLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLOOMINGTON WELLNESS CENTER PA 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
470902905
|
2022-06-15
|
BLOOMINGTON WELLNESS CENTER PA
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
9528812800
|
| Plan sponsor’s
address |
5143 W 98TH ST, BLOOMINGTON, MN, 55437
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-15 |
| Name of individual signing |
DALE RYAN GRAYSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLOOMINGTON WELLNESS CENTER PA 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
470902905
|
2021-06-09
|
BLOOMINGTON WELLNESS CENTER PA
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
9528812800
|
| Plan sponsor’s
address |
5143 W 98TH ST, BLOOMINGTON, MN, 55437
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-09 |
| Name of individual signing |
DALE RYAN GRAYSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLOOMINGTON WELLNESS CENTER PA 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
470902905
|
2020-05-13
|
BLOOMINGTON WELLNESS CENTER PA
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
9528812800
|
| Plan sponsor’s
address |
5143 W 98TH ST, BLOOMINGTON, MN, 55437
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-13 |
| Name of individual signing |
DALE RYAN GRAYSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLOOMINGTON WELLNESS CENTER PA 401 K PROFIT SHARING PLAN TRUST
|
2018
|
470902905
|
2019-06-26
|
BLOOMINGTON WELLNESS CENTER PA
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
9528812800
|
| Plan sponsor’s
address |
5143 W 98TH ST, BLOOMINGTON, MN, 55437
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-26 |
| Name of individual signing |
DALE GRAYSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
