|
JD HOME HEALTHCARE 401(K) P/S PLAN
|
2023
|
813971654
|
2024-06-27
|
JD HOME HEALTHCARE
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
624100
|
| Sponsor’s telephone number |
3202007574
|
| Plan sponsor’s
address |
3333 WEST DIVISION STREET, SUITE 100, SAINT CLOUD, MN, 56301
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-27 |
| Name of individual signing |
STEVE MELLENDORF |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-06-27 |
| Name of individual signing |
STEVE MELLENDORF |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JD HOME HEALTHCARE 401(K) P/S PLAN
|
2022
|
813971654
|
2023-04-06
|
JD HOME HEALTHCARE
|
39
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
624100
|
| Sponsor’s telephone number |
3202007574
|
| Plan sponsor’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304
|
Plan administrator’s name and address
| Administrator’s EIN |
813971654 |
| Plan administrator’s name |
JD HOME HEALTHCARE |
| Plan administrator’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304 |
| Administrator’s telephone number |
3202007574 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-06 |
| Name of individual signing |
JOSHUA SCHOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JD HOME HEALTHCARE 401(K) P/S PLAN
|
2021
|
813971654
|
2022-07-07
|
JD HOME HEALTHCARE
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
624100
|
| Sponsor’s telephone number |
3202007574
|
| Plan sponsor’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304
|
Plan administrator’s name and address
| Administrator’s EIN |
813971654 |
| Plan administrator’s name |
JD HOME HEALTHCARE |
| Plan administrator’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304 |
| Administrator’s telephone number |
3202007574 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-07 |
| Name of individual signing |
JOSHUA SCHOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JD HOME HEALTHCARE 401(K) P/S PLAN
|
2020
|
813971654
|
2022-05-03
|
JD HOME HEALTHCARE
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
624100
|
| Sponsor’s telephone number |
3202007574
|
| Plan sponsor’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304
|
Plan administrator’s name and address
| Administrator’s EIN |
813971654 |
| Plan administrator’s name |
JD HOME HEALTHCARE |
| Plan administrator’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304 |
| Administrator’s telephone number |
3202007574 |
Signature of
| Role |
Plan administrator |
| Date |
2022-05-03 |
| Name of individual signing |
JOSHUA SCHOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JD HOME HEALTHCARE 401(K) P/S PLAN
|
2019
|
813971654
|
2020-07-16
|
JD HOME HEALTHCARE
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
624100
|
| Sponsor’s telephone number |
3202007574
|
| Plan sponsor’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304
|
Plan administrator’s name and address
| Administrator’s EIN |
813971654 |
| Plan administrator’s name |
JD HOME HEALTHCARE |
| Plan administrator’s
address |
4896 52ND ST SE, SAINT CLOUD, MN, 56304 |
| Administrator’s telephone number |
3202007574 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-16 |
| Name of individual signing |
JOSHUA SCHOTT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
