PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2018
|
410878170
|
2019-01-31
|
PLEASANT MANOR, INC
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2019-01-31 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2017
|
410878170
|
2018-06-26
|
PLEASANT MANOR, INC
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2018-06-26 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2016
|
410878170
|
2017-07-11
|
PLEASANT MANOR, INC
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2017-07-11 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2015
|
410878170
|
2016-10-06
|
PLEASANT MANOR, INC
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2014
|
410878170
|
2015-07-29
|
PLEASANT MANOR, INC
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2013
|
410878170
|
2014-07-28
|
PLEASANT MANOR, INC
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
DARLENE MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2012
|
410878170
|
2013-06-04
|
PLEASANT MANOR, INC
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
MICHAEL C MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-04 |
Name of individual signing |
MICHAEL C MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2011
|
410878170
|
2012-06-06
|
PLEASANT MANOR, INC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Plan administrator’s name and address
Administrator’s EIN |
410878170 |
Plan administrator’s name |
PLEASANT MANOR, INC |
Plan administrator’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021 |
Administrator’s telephone number |
5073342036 |
Signature of
Role |
Plan administrator |
Date |
2012-06-06 |
Name of individual signing |
MICHAEL C MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-06 |
Name of individual signing |
MICHAEL C MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2010
|
410878170
|
2011-06-07
|
PLEASANT MANOR, INC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Plan administrator’s name and address
Administrator’s EIN |
410878170 |
Plan administrator’s name |
PLEASANT MANOR, INC |
Plan administrator’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021 |
Administrator’s telephone number |
5073342036 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
MICHAEL C MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-07 |
Name of individual signing |
MICHAEL C MEILLIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLEASANT MANOR 401(K) AND EMPLOYEE INCENTIVE PLAN
|
2010
|
410878170
|
2011-06-06
|
PLEASANT MANOR, INC
|
57
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
5073342036
|
Plan sponsor’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021
|
Plan administrator’s name and address
Administrator’s EIN |
410878170 |
Plan administrator’s name |
PLEASANT MANOR, INC |
Plan administrator’s
address |
27 BRAND AVENUE, FARIBAULT, MN, 55021 |
Administrator’s telephone number |
5073342036 |
|