SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2023
|
411373420
|
2024-07-18
|
SAMARITAN BETHANY, INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
102 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2022
|
411373420
|
2023-06-29
|
SAMARITAN BETHANY, INC.
|
127
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
98 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-06-29 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2021
|
411373420
|
2022-06-13
|
SAMARITAN BETHANY, INC.
|
174
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
132 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2020
|
411373420
|
2021-06-07
|
SAMARITAN BETHANY, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
150 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-06-07 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2019
|
411373420
|
2020-06-23
|
SAMARITAN BETHANY, INC.
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2018
|
411373420
|
2019-07-09
|
SAMARITAN BETHANY, INC.
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
177 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-09 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2017
|
411373420
|
2018-07-24
|
SAMARITAN BETHANY, INC.
|
158
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
154 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2016
|
411373420
|
2017-07-19
|
SAMARITAN BETHANY, INC.
|
174
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN
|
2015
|
411373420
|
2016-07-19
|
SAMARITAN BETHANY, INC.
|
166
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
172 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMARITAN BETHANY, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2014
|
411373420
|
2015-06-26
|
SAMARITAN BETHANY, INC.
|
195
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
5072895042
|
Plan sponsor’s mailing address |
101 7TH STREET NW, ROCHESTER, MN, 559035947
|
Plan sponsor’s
address |
P.O. BOX 5947, ROCHESTER, MN, 559035947
|
Number of participants as of the end of the plan year
Active participants |
169 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
BRANDON MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|