HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2020
|
841494367
|
2021-06-10
|
WILLIAM DAHLQUIST ENTERPRISES,
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2019
|
841494367
|
2020-06-30
|
WILLIAM DAHLQUIST ENTERPRISES,
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2019
|
841494367
|
2020-06-17
|
WILLIAM DAHLQUIST ENTERPRISES,
|
81
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2020-06-17 |
Name of individual signing |
WDAHLQUIST2055 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2018
|
841494367
|
2019-06-11
|
WILLIAM DAHLQUIST ENTERPRISES,
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2017
|
841494367
|
2018-07-05
|
WILLIAM DAHLQUIST ENTERPRISES,
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2016
|
841494367
|
2017-08-13
|
WILLIAM DAHLQUIST ENTERPRISES,
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2017-08-13 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2015
|
841494367
|
2016-05-27
|
WILLIAM DAHLQUIST ENTERPRISES,
|
108
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2016-05-26 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2014
|
841494367
|
2015-08-06
|
WILLIAM DAHLQUIST ENTERPRISES,
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2015-08-06 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-06 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2013
|
841494367
|
2014-10-02
|
WILLIAM DAHLQUIST ENTERPRISES,
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401(K) PROFIT SHARING PLAN
|
2013
|
841494367
|
2014-08-29
|
WILLIAM DAHLQUIST ENTERPRISES,
|
112
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033895700
|
Plan sponsor’s
address |
2095 S PONTIAC WAY, DENVER, CO, 80224
|
Signature of
Role |
Plan administrator |
Date |
2014-08-29 |
Name of individual signing |
WILLIAM DAHLQUIST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|