|
PRAIRIECARE, LLC 401K PROFIT SHARING PLAN & TRUST
|
2011
|
261545791
|
2012-06-06
|
PRAIRIECARE, LLC
|
88
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
6512599707
|
| Plan sponsor’s
address |
12915 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
| Administrator’s EIN |
261545791 |
| Plan administrator’s name |
PRAIRIECARE, LLC |
| Plan administrator’s
address |
12915 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369 |
| Administrator’s telephone number |
6512599707 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-06 |
| Name of individual signing |
KERRY SAMPICA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIECARE, LLC 401K PROFIT SHARING PLAN & TRUST
|
2010
|
261545791
|
2011-07-08
|
PRAIRIECARE, LLC
|
56
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
6512599707
|
| Plan sponsor’s
address |
12915 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369
|
Plan administrator’s name and address
| Administrator’s EIN |
261545791 |
| Plan administrator’s name |
PRAIRIECARE, LLC |
| Plan administrator’s
address |
12915 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369 |
| Administrator’s telephone number |
6512599707 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-08 |
| Name of individual signing |
CHELSEA RITCHIE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIECARE LLC
|
2009
|
261545791
|
2010-07-30
|
PRAIRIECARE, LLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
6512599707
|
| Plan sponsor’s
address |
7616 CURRELL BLVD. SUITE 100, WOODBURY, MN, 55125
|
Plan administrator’s name and address
| Administrator’s EIN |
261545791 |
| Plan administrator’s name |
PRAIRIECARE, LLC |
| Plan administrator’s
address |
7616 CURRELL BLVD. SUITE 100, WOODBURY, MN, 55125 |
| Administrator’s telephone number |
6512599707 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
PRAIRIECARE, LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
