|
DEEP HAVEN COUNSELING CENTER 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
461158240
|
2020-09-25
|
DEEP HAVEN COUNSELING CENTER
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9523000556
|
| Plan sponsor’s
address |
15 GROVELAND TER, STE 204, MINNEAPOLIS, MN, 554031154
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-25 |
| Name of individual signing |
OFFICE MANAGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEEP HAVEN COUNSELING CENTER 401 K PROFIT SHARING PLAN TRUST
|
2018
|
461158240
|
2019-05-06
|
DEEP HAVEN COUNSELING CENTER
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9523000556
|
| Plan sponsor’s
address |
15 GROVELAND TER, STE 204, MINNEAPOLIS, MN, 554031154
|
Signature of
| Role |
Plan administrator |
| Date |
2019-05-06 |
| Name of individual signing |
REBEKAH ZEPEDA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEEP HAVEN COUNSELING CENTER 401 K PROFIT SHARING PLAN TRUST
|
2017
|
461158240
|
2018-04-27
|
DEEP HAVEN COUNSELING CENTER
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9523000556
|
| Plan sponsor’s
address |
15 GROVELAND TER, STE 204, MINNEAPOLIS, MN, 554031154
|
Signature of
| Role |
Plan administrator |
| Date |
2018-04-27 |
| Name of individual signing |
DEEP HAVEN COUNSELING CENTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEEP HAVEN COUNSELING CENTER 401 K PROFIT SHARING PLAN TRUST
|
2016
|
461158240
|
2017-06-01
|
DEEP HAVEN COUNSELING CENTER
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9523000556
|
| Plan sponsor’s
address |
4300 BAKER RD., MINNETONKA, MN, 55343
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-01 |
| Name of individual signing |
REBEKAH ZEPEDA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEEP HAVEN COUNSELING CENTER 401 K PROFIT SHARING PLAN TRUST
|
2015
|
461158240
|
2016-07-20
|
DEEP HAVEN COUNSELING CENTER
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9523000556
|
| Plan sponsor’s
address |
4300 BAKER RD., MINNETONKA, MN, 55343
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-20 |
| Name of individual signing |
REBEKAH ZEPEDA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEEP HAVEN COUNSELING CENTER 401 K PROFIT SHARING PLAN TRUST
|
2014
|
461158240
|
2015-05-27
|
DEEP HAVEN COUNSELING CENTER
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9523000556
|
| Plan sponsor’s
address |
4300 BAKER RD., MINNETONKA, MN, 55343
|
Signature of
| Role |
Plan administrator |
| Date |
2015-05-27 |
| Name of individual signing |
CAROL BURR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEEP HAVEN COUNSELING CENTER 401 K PROFIT SHARING PLAN TRUST
|
2013
|
461158240
|
2014-05-07
|
DEEP HAVEN COUNSELING CENTER
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9523000556
|
| Plan sponsor’s
address |
4300 BAKER RD., MINNETONKA, MN, 55343
|
Signature of
| Role |
Plan administrator |
| Date |
2014-05-07 |
| Name of individual signing |
CAROL BURR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
