OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2016
|
411253511
|
2017-12-22
|
OUR HOUSE OF MINNESOTA
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 551046062
|
Signature of
Role |
Plan administrator |
Date |
2017-12-22 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2016
|
411253511
|
2017-05-31
|
OUR HOUSE OF MINNESOTA
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 551046062
|
Signature of
Role |
Plan administrator |
Date |
2017-05-31 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2015
|
411253511
|
2016-06-22
|
OUR HOUSE OF MINNESOTA
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 551046062
|
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2014
|
411253511
|
2015-06-22
|
OUR HOUSE OF MINNESOTA
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 551046062
|
Signature of
Role |
Plan administrator |
Date |
2015-06-22 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2013
|
411253511
|
2014-05-08
|
OUR HOUSE OF MINNESOTA
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 551046062
|
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2012
|
411253511
|
2013-06-19
|
OUR HOUSE OF MINNESOTA
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 551046062
|
Signature of
Role |
Plan administrator |
Date |
2013-06-19 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2011
|
411253511
|
2012-06-07
|
OUR HOUSE OF MINNESOTA
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411253511 |
Plan administrator’s name |
OUR HOUSE OF MINNESOTA |
Plan administrator’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516461104 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2010
|
411253511
|
2011-06-28
|
OUR HOUSE OF MINNESOTA
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411253511 |
Plan administrator’s name |
OUR HOUSE OF MINNESOTA |
Plan administrator’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516461104 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OUR HOUSE OF MINNESOTA, INC. RETIREMENT PLAN
|
2009
|
411253511
|
2010-06-30
|
OUR HOUSE OF MINNESOTA
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6516461104
|
Plan sponsor’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 55104
|
Plan administrator’s name and address
Administrator’s EIN |
411253511 |
Plan administrator’s name |
OUR HOUSE OF MINNESOTA |
Plan administrator’s
address |
1846 PORTLAND AVENUE, ST. PAUL, MN, 55104 |
Administrator’s telephone number |
6516461104 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
DENNIS HOLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|