FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2019
|
411237470
|
2020-06-16
|
FOLEY HEALTH CARE, INC.
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2020-06-16 |
Name of individual signing |
RAYMOND DYKHUIZEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-16 |
Name of individual signing |
RAYMOND DYKHUIZEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2019
|
411237470
|
2020-11-09
|
FOLEY HEALTH CARE, INC.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2020-11-06 |
Name of individual signing |
RAYMOND DYKHUIZEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-06 |
Name of individual signing |
RAYMOND DYKHUIZEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2018
|
411237470
|
2019-09-13
|
FOLEY HEALTH CARE, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2019-09-13 |
Name of individual signing |
DIANE TOWNSEND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2017
|
411237470
|
2018-07-27
|
FOLEY HEALTH CARE, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
DIANE TOWNSEND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2016
|
411237470
|
2017-08-02
|
FOLEY HEALTH CARE, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2017-08-02 |
Name of individual signing |
DIANE TOWNSEND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2015
|
411237470
|
2016-10-05
|
FOLEY HEALTH CARE, INC.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2016-10-05 |
Name of individual signing |
DIANE TOWNSEND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2014
|
411237470
|
2015-09-08
|
FOLEY HEALTH CARE, INC.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2015-09-08 |
Name of individual signing |
DIANE TOWNSEND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2013
|
411237470
|
2014-07-28
|
FOLEY HEALTH CARE, INC.
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
MICHELLE M. SPICZKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2012
|
411237470
|
2013-08-01
|
FOLEY HEALTH CARE, INC.
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Signature of
Role |
Plan administrator |
Date |
2013-08-01 |
Name of individual signing |
MICHELLE M. SPICZKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOLEY HEALTH CARE, INC. 401(K) RETIREMENT PLAN
|
2011
|
411237470
|
2012-05-31
|
FOLEY HEALTH CARE, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3209686201
|
Plan sponsor’s
address |
253 PINE STREET, FOLEY, MN, 56329
|
Plan administrator’s name and address
Administrator’s EIN |
411237470 |
Plan administrator’s name |
FOLEY HEALTH CARE, INC. |
Plan administrator’s
address |
253 PINE STREET, FOLEY, MN, 56329 |
Administrator’s telephone number |
3209686201 |
Signature of
Role |
Plan administrator |
Date |
2012-05-31 |
Name of individual signing |
MICHELLE M. SPICZKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|