|
HARMONY HOUSE ALF 401(K) PLAN
|
2023
|
202727269
|
2024-07-10
|
SISKIYOU LIVING, LLC
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2087629856
|
| Plan
sponsor’s DBA name |
HARMONY HOUSE ASSISTED LIVING
|
| Plan sponsor’s
address |
P.O. BOX 2792, HAYDEN, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-10 |
| Name of individual signing |
GRAHAM CHRISTENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARMONY HOUSE ALF 401(K) PLAN
|
2022
|
202727269
|
2023-07-06
|
SISKIYOU LIVING, LLC
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2087629856
|
| Plan
sponsor’s DBA name |
HARMONY HOUSE ASSISTED LIVING
|
| Plan sponsor’s
address |
P.O. BOX 2792, HAYDEN, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-06 |
| Name of individual signing |
GRAHAM CHRISTENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARMONY HOUSE ALF 401(K) PLAN
|
2021
|
202727269
|
2022-12-12
|
SISKIYOU LIVING, LLC
|
38
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2087629856
|
| Plan
sponsor’s DBA name |
HARMONY HOUSE ASSISTED LIVING
|
| Plan sponsor’s
address |
P.O. BOX 2792, HAYDEN, ID, 83814
|
Signature of
| Role |
Plan administrator |
| Date |
2022-12-12 |
| Name of individual signing |
GRAHAM CHRISTENSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
