|
PRAIRIE VIEW ASSISTED LIVING, INC. SH PS PLAN
|
2019
|
861169953
|
2020-06-03
|
PRAIRIE VIEW ASSISTED LIVING, INC.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-07-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2182981140
|
| Plan sponsor’s
address |
821 7TH AVENUE SW, PERHAM, MN, 56573
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-03 |
| Name of individual signing |
KARI HONER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIE VIEW ASSISTED LIVING, INC. SH PS PLAN
|
2018
|
861169953
|
2019-06-13
|
PRAIRIE VIEW ASSISTED LIVING, INC.
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-07-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2182981140
|
| Plan sponsor’s
address |
821 7TH AVENUE SW, PERHAM, MN, 56573
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-13 |
| Name of individual signing |
KARI HONER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIE VIEW ASSISTED LIVING, INC. SH PS PLAN
|
2017
|
861169953
|
2018-06-25
|
PRAIRIE VIEW ASSISTED LIVING, INC.
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-07-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2182981140
|
| Plan sponsor’s
address |
821 7TH AVENUE SW, PERHAM, MN, 56573
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-25 |
| Name of individual signing |
KARI HONER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIE VIEW ASSISTED LIVING, INC. SH PS PLAN
|
2016
|
861169953
|
2017-07-24
|
PRAIRIE VIEW ASSISTED LIVING, INC.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-07-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2182981140
|
| Plan sponsor’s
address |
821 7TH AVENUE SW, PERHAM, MN, 56573
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-24 |
| Name of individual signing |
KARI HONER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIE VIEW ASSISTED LIVING, INC. SH PS PLAN
|
2015
|
861169953
|
2016-07-19
|
PRAIRIE VIEW ASSISTED LIVING, INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-07-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2182981140
|
| Plan sponsor’s
address |
821 7TH AVENUE SW, PERHAM, MN, 56573
|
|
