GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS DEFERRAL PLAN
|
2009
|
410844893
|
2010-03-30
|
GRANDVIEW CHRISTIAN HOME
|
390
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-30 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY
|
2009
|
410844893
|
2010-05-03
|
GRANDVIEW CHRISTIAN HOME
|
No data
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
6126891474
|
Plan sponsor’s
address |
135 FERN STREET NORTH, CAMBRIDGE, MN, 550081034
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Administrator’s telephone number |
6126891474 |
Signature of
Role |
Plan administrator |
Date |
2010-04-20 |
Name of individual signing |
KAREN MCKENNA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY
|
2009
|
410844893
|
2010-04-23
|
GRANDVIEW CHRISTIAN HOME
|
No data
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
6126891474
|
Plan sponsor’s
address |
135 FERN STREET NORTH, CAMBRIDGE, MN, 550081034
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Administrator’s telephone number |
6126891474 |
Signature of
Role |
Plan administrator |
Date |
2010-04-20 |
Name of individual signing |
KAREN MCKENNA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-20 |
Name of individual signing |
KAREN MCKENNA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS DEFERRAL PLAN
|
2009
|
410844893
|
2010-03-31
|
GRANDVIEW CHRISTIAN HOME
|
390
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-31 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS PLAN
|
2009
|
410844893
|
2010-03-31
|
GRANDVIEW CHRISTIAN HOME
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-31 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS PLAN
|
2009
|
410844893
|
2010-03-30
|
GRANDVIEW CHRISTIAN HOME
|
112
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-30 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS DEFERRAL PLAN
|
2009
|
410844893
|
2010-03-29
|
GRANDVIEW CHRISTIAN HOME
|
390
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-03-29 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS PLAN
|
2009
|
410844893
|
2010-03-29
|
GRANDVIEW CHRISTIAN HOME
|
112
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-03-29 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS PLAN
|
2009
|
410844893
|
2010-03-30
|
GRANDVIEW CHRISTIAN HOME
|
112
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-30 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANDVIEW CHRISTIAN HOME RETIREMENT SAVINGS DEFERRAL PLAN
|
2009
|
410844893
|
2010-03-30
|
GRANDVIEW CHRISTIAN HOME
|
390
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7636891474
|
Plan sponsor’s mailing address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan sponsor’s
address |
GRANDVIEW CHRISTIAN HOME, 322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008
|
Plan administrator’s name and address
Administrator’s EIN |
410844893 |
Plan administrator’s name |
GRANDVIEW CHRISTIAN HOME |
Plan administrator’s
address |
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN, 55008 |
Administrator’s telephone number |
7636891474 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-30 |
Name of individual signing |
JULIE TOOKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|