CAPITOL VIEW TRANSITIONAL CARE CENTER SAVINGS PLAN
|
2016
|
412011453
|
2017-10-13
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
89
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
8170 33RD AVENUE SOUTH, P.O. BOX 1309, MINNEAPOLIS, MN, 554401309
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
HEIDI CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
2015
|
412011453
|
2019-07-02
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
125
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
6512540488
|
Plan sponsor’s mailing address |
640 JACKSON ST, 11108, ST PAUL, MN, 55101
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST PAUL, MN, 55101
|
Number of participants as of the end of the plan year
Active participants |
118 |
Retired or separated participants receiving
benefits |
13 |
Number of
participants
with
account balances as of the end of the plan year |
131 |
Signature of
Role |
Plan administrator |
Date |
2019-07-02 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-02 |
Name of individual signing |
HEIDI CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
2015
|
412011453
|
2016-10-17
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
90
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST PAUL, MN, 55101
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
2014
|
412011453
|
2015-10-15
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST PAUL, MN, 55101
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
2013
|
412011453
|
2014-10-15
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST PAUL, MN, 55101
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
2012
|
412011453
|
2013-10-11
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST PAUL, MN, 55101
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-07 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITONAL CARE CENTER
|
2011
|
412011453
|
2012-08-28
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
94
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101
|
Plan administrator’s name and address
Administrator’s EIN |
412011453 |
Plan administrator’s name |
CAPITOL VIEW TRANSITIONAL CARE CENTER |
Plan administrator’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101 |
Signature of
Role |
Plan administrator |
Date |
2012-08-28 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITONAL CARE CENTER
|
2011
|
412011453
|
2015-04-22
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
94
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101
|
Plan administrator’s name and address
Administrator’s EIN |
412011453 |
Plan administrator’s name |
CAPITOL VIEW TRANSITIONAL CARE CENTER |
Plan administrator’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101 |
Signature of
Role |
Plan administrator |
Date |
2015-04-22 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITONAL CARE CENTER
|
2011
|
412011453
|
2015-04-23
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101
|
Plan administrator’s name and address
Administrator’s EIN |
412011453 |
Plan administrator’s name |
CAPITOL VIEW TRANSITIONAL CARE CENTER |
Plan administrator’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101 |
Signature of
Role |
Plan administrator |
Date |
2015-04-23 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITOL VIEW TRANSITONAL CARE CENTER
|
2011
|
412011453
|
2012-09-26
|
CAPITOL VIEW TRANSITIONAL CARE CENTER
|
94
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-02-01
|
Business code |
623000
|
Plan sponsor’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101
|
Plan administrator’s name and address
Administrator’s EIN |
412011453 |
Plan administrator’s name |
CAPITOL VIEW TRANSITIONAL CARE CENTER |
Plan administrator’s
address |
640 JACKSON ST, 11108, ST. PAUL, MN, 55101 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
JULIE HYLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|