|
HAVEN CHEMICAL HEALTH SYSTEMS 401(K) PLAN
|
2016
|
411973699
|
2017-07-31
|
HAVEN CHEMICAL HEALTH
|
55
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
6517349633
|
| Plan sponsor’s
address |
2042 WOODDALE DR STE 220, WOODBURY, MN, 55125
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-31 |
| Name of individual signing |
LAURIE CUNNINGHAM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HAVEN CHEMICAL HEALTH SYSTEMS 401(K) PLAN
|
2015
|
411973699
|
2016-07-20
|
HAVEN CHEMICAL HEALTH
|
46
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
6517349633
|
| Plan sponsor’s
address |
HAVEN CHEMICAL HEALTH SYSTEMS LLC, 2042 WOODDALE DR STE 220, WOODBURY, MN, 55125
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-20 |
| Name of individual signing |
REBECCA HAVEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-07-20 |
| Name of individual signing |
REBECCA HAVEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
