VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2017
|
411752857
|
2018-06-27
|
VALLEY REHABILITATION SERVICES, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524281250
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
JEFFREY FOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
JEFFREY FOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2017
|
411752857
|
2018-06-27
|
VALLEY REHABILITATION SERVICES, LLC
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524281250
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
JEFFREY FOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
JEFFREY FOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2016
|
411752857
|
2017-04-20
|
VALLEY REHABILITATION SERVICES, LLC
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524281250
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Signature of
Role |
Plan administrator |
Date |
2017-04-20 |
Name of individual signing |
JEFFREY FOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-20 |
Name of individual signing |
JEFFREY FOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2015
|
411752857
|
2016-04-15
|
VALLEY REHABILITATION SERVICES, LLC
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524281250
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Signature of
Role |
Plan administrator |
Date |
2016-04-15 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-15 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2014
|
411752857
|
2015-05-11
|
VALLEY REHABILITATION SERVICES, LLC
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524281250
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Signature of
Role |
Plan administrator |
Date |
2015-05-11 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-11 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2013
|
411752857
|
2014-03-13
|
VALLEY REHABILITATION SERVICES, LLC
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524485077
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Signature of
Role |
Plan administrator |
Date |
2014-03-13 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-13 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2012
|
411752857
|
2013-07-23
|
VALLEY REHABILITATION SERVICES, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524485077
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-23 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2011
|
411752857
|
2012-02-27
|
VALLEY REHABILITATION SERVICES, LLC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524485077
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Plan administrator’s name and address
Administrator’s EIN |
411752857 |
Plan administrator’s name |
VALLEY REHABILITATION SERVICES, LLC |
Plan administrator’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841 |
Administrator’s telephone number |
9524485077 |
Signature of
Role |
Plan administrator |
Date |
2012-02-27 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-27 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2010
|
411752857
|
2011-07-12
|
VALLEY REHABILITATION SERVICES, LLC
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524485077
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Plan administrator’s name and address
Administrator’s EIN |
411752857 |
Plan administrator’s name |
VALLEY REHABILITATION SERVICES, LLC |
Plan administrator’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841 |
Administrator’s telephone number |
9524485077 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY REHABILITATION SERVICES, LLC 401(K) RETIREMENT PLAN
|
2009
|
411752857
|
2010-07-02
|
VALLEY REHABILITATION SERVICES, LLC
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
9524485077
|
Plan sponsor’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841
|
Plan administrator’s name and address
Administrator’s EIN |
411752857 |
Plan administrator’s name |
VALLEY REHABILITATION SERVICES, LLC |
Plan administrator’s
address |
1661 PARK RIDGE DR, CHASKA, MN, 553182841 |
Administrator’s telephone number |
9524485077 |
Signature of
Role |
Plan administrator |
Date |
2010-07-02 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-02 |
Name of individual signing |
MICHAEL BECKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|