FOLEY MEDICAL CENTER, LTD. 401(K) PROFIT SHARING PLAN
|
2021
|
411707825
|
2022-10-12
|
FOLEY MEDICAL CENTER, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3209687234
|
Plan sponsor’s
address |
PO BOX 218 - 471 HIGHWAY 23, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
KEVIN STILES, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY MEDICAL CENTER, LTD. 401(K) PROFIT SHARING PLAN
|
2021
|
411707825
|
2022-10-12
|
FOLEY MEDICAL CENTER, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3209687234
|
Plan sponsor’s
address |
PO BOX 218 - 471 HIGHWAY 23, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
KEVIN STILES, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY MEDICAL CENTER, LTD. 401(K) PROFIT SHARING PLAN
|
2020
|
411707825
|
2021-01-20
|
FOLEY MEDICAL CENTER, LTD.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3209687234
|
Plan sponsor’s
address |
PO BOX 218 - 471 HIGHWAY 23, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY MEDICAL CENTER, LTD. 401(K) PROFIT SHARING PLAN
|
2020
|
411707825
|
2021-10-12
|
FOLEY MEDICAL CENTER, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3209687234
|
Plan sponsor’s
address |
PO BOX 218 - 471 HIGHWAY 23, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY MEDICAL CENTER, LTD. 401(K) PROFIT SHARING PLAN
|
2020
|
411707825
|
2021-01-20
|
FOLEY MEDICAL CENTER, LTD.
|
16
|
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3209687234
|
Plan sponsor’s
address |
PO BOX 218 - 471 HIGHWAY 23, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY MEDICAL CENTER, LTD. 401(K) PROFIT SHARING PLAN
|
2019
|
411707825
|
2021-01-20
|
FOLEY MEDICAL CENTER, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3209687234
|
Plan sponsor’s
address |
PO BOX 218 - 471 HIGHWAY 23, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY MEDICAL CENTER, LTD. 401(K) PROFIT SHARING PLAN
|
2019
|
411707825
|
2021-01-20
|
FOLEY MEDICAL CENTER, LTD.
|
13
|
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3209687234
|
Plan sponsor’s
address |
PO BOX 218 - 471 HIGHWAY 23, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-20 |
Name of individual signing |
KEVIN STILES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|