NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2023
|
411346487
|
2024-07-24
|
NORTHFIELD SENIOR CITIZENS, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2024-07-24 |
Name of individual signing |
KERRY HJELMGREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2022
|
411346487
|
2023-05-03
|
NORTHFIELD SENIOR CITIZENS, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2023-05-03 |
Name of individual signing |
KERRY HJELMGREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2021
|
411346487
|
2022-06-07
|
NORTHFIELD SENIOR CITIZENS, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2022-06-07 |
Name of individual signing |
LYNNE PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2020
|
411346487
|
2021-04-13
|
NORTHFIELD SENIOR CITIZENS, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2021-04-13 |
Name of individual signing |
LYNNE PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2019
|
411346487
|
2020-05-01
|
NORTHFIELD SENIOR CITIZENS, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2020-05-01 |
Name of individual signing |
LYNNE PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2018
|
411346487
|
2019-05-31
|
NORTHFIELD SENIOR CITIZENS, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2019-05-31 |
Name of individual signing |
LYNNE PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2017
|
411346487
|
2018-05-03
|
NORTHFIELD SENIOR CITIZENS, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2018-05-03 |
Name of individual signing |
LYNNE PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2016
|
411346487
|
2017-05-17
|
NORTHFIELD SENIOR CITIZENS, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
Signature of
Role |
Plan administrator |
Date |
2017-05-17 |
Name of individual signing |
LYNNE PEDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2015
|
411346487
|
2016-06-15
|
NORTHFIELD SENIOR CITIZENS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PARKWAY, NORTHFIELD, MN, 550572929
|
|
NORTHFIELD SENIOR CITIZENS, INC. 401(K) P/S PLAN
|
2014
|
411346487
|
2015-05-15
|
NORTHFIELD SENIOR CITIZENS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5076643700
|
Plan sponsor’s
address |
1651 JEFFERSON PKWY, NORTHFIELD, MN, 55057
|
Plan administrator’s name and address
Administrator’s EIN |
411346487 |
Plan administrator’s name |
NORTHFIELD SENIOR CITIZENS, INC. |
Plan administrator’s
address |
1651 JEFFERSON PKWY, NORTHFIELD, MN, 55057 |
Administrator’s telephone number |
5076643700 |
Signature of
Role |
Plan administrator |
Date |
2015-05-15 |
Name of individual signing |
KATHY BJERKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|