PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2022
|
920151413
|
2024-01-29
|
PETERSBURG MENTAL HEALTH SERVICES, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
P.O. BOX 1309, PETERSBURG, AK, 998331309
|
Signature of
Role |
Plan administrator |
Date |
2023-12-06 |
Name of individual signing |
KATHY O'REAR |
|
Role |
Employer/plan sponsor |
Date |
2023-12-06 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2021
|
920151413
|
2023-01-16
|
PETERSBURG MENTAL HEALTH SERVICES, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
P.O. BOX 1309, PETERSBURG, AK, 998331309
|
Signature of
Role |
Plan administrator |
Date |
2022-11-14 |
Name of individual signing |
KATHY O'REAR |
|
Role |
Employer/plan sponsor |
Date |
2022-11-14 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2020
|
920151413
|
2022-01-31
|
PETERSBURG MENTAL HEALTH SERVICES, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
P.O. BOX 1309, PETERSBURG, AK, 998331309
|
Signature of
Role |
Plan administrator |
Date |
2022-01-05 |
Name of individual signing |
KATHY O'REAR |
|
Role |
Employer/plan sponsor |
Date |
2022-01-05 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2019
|
920151413
|
2021-01-27
|
PETERSBURG MENTAL HEALTH SERVICES, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
P.O. BOX 1309, PETERSBURG, AK, 99833
|
Signature of
Role |
Plan administrator |
Date |
2021-01-14 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2018
|
920151413
|
2020-01-21
|
PETERSBURG MENTAL HEALTH SERVICES, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
P.O. BOX 1309, PETERSBURG, AK, 99833
|
Signature of
Role |
Plan administrator |
Date |
2020-01-20 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2017
|
920151413
|
2019-01-28
|
PETERSBURG MENTAL HEALTH SERVICES, INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
PO BOX 1309, PETERSBURG, AK, 99833
|
Signature of
Role |
Plan administrator |
Date |
2019-01-28 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2016
|
920151413
|
2017-10-24
|
PETERSBURG MENTAL HEALTH SERVICES, INC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
PO BOX 1309, PETERSBURG, AK, 99833
|
Signature of
Role |
Plan administrator |
Date |
2017-10-24 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2015
|
920151413
|
2017-01-19
|
PETERSBURG MENTAL HEALTH SERVICES, INC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
PO BOX 1309, PETERSBURG, AK, 99833
|
Signature of
Role |
Plan administrator |
Date |
2017-01-19 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2014
|
920151413
|
2015-10-21
|
PETERSBURG MENTAL HEALTH SERVICES, INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
PO BOX 1309, PETERSBURG, AK, 99833
|
Signature of
Role |
Plan administrator |
Date |
2015-10-21 |
Name of individual signing |
KATHY O'REAR |
|
|
PETERSBURG MENTAL HEALTH 403(B) PLAN
|
2013
|
920151413
|
2015-04-13
|
PETERSBURG MENTAL HEALTH SERVICES, INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
1996-10-28
|
Business code |
621330
|
Sponsor’s telephone number |
9077723332
|
Plan sponsor’s
address |
PO BOX 1309, PETERSBURG, AK, 99833
|
Signature of
Role |
Plan administrator |
Date |
2015-04-13 |
Name of individual signing |
FRAN JONES |
|
|