|
HERITAGE PLACE 401(K) PLAN
|
2010
|
820341101
|
2011-07-28
|
HERITAGE PLACE, INC.
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2086642680
|
| Plan sponsor’s
address |
702 W. WALNUT, COEUR D ALENE, ID, 83814
|
Plan administrator’s name and address
| Administrator’s EIN |
820341101 |
| Plan administrator’s name |
HERITAGE PLACE, INC. |
| Plan administrator’s
address |
702 W. WALNUT, COEUR D ALENE, ID, 83814 |
| Administrator’s telephone number |
2086642680 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-28 |
| Name of individual signing |
MIKE GRABENSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-28 |
| Name of individual signing |
MIKE GRABENSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HERITAGE PLACE 401(K) PLAN
|
2009
|
820341101
|
2010-10-11
|
HERITAGE PLACE, INC.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2086642680
|
| Plan sponsor’s
address |
702 W. WALNUT, COEUR D ALENE, ID, 83814
|
Plan administrator’s name and address
| Administrator’s EIN |
820341101 |
| Plan administrator’s name |
HERITAGE PLACE, INC. |
| Plan administrator’s
address |
702 W. WALNUT, COEUR D ALENE, ID, 83814 |
| Administrator’s telephone number |
2086642680 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-11 |
| Name of individual signing |
MIKE GRABENSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-11 |
| Name of individual signing |
MIKE GRABENSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
