| Name: | Avera Marshall Regional Medical Center |
| Jurisdiction: | Minnesota |
| Legal type: | Assumed Name |
| Status: | Active / In Good Standing |
| Date formed: | 11 Aug 2004 (20 years ago) |
| Company Number: | 17fa0eed-88d4-e011-a886-001ec94ffe7f |
| File Number: | 1002192-2 |
| Principal Place of Business Address: | 300 S Bruce Str, Marshall, MN 56258, USA |
| ZIP code: | 56258 |
| County: | Lyon County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PERA REPLACEMENT PLAN FOR CERTAIN EMPLOYEES OF AVERA MARSHALL | 2012 | 410919153 | 2013-07-26 | AVERA MARSHALL REGIONAL MEDICAL CENTER | 241 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 410919153 |
| Plan administrator’s name | AVERA MARSHALL REGIONAL MEDICAL CENTER |
| Plan administrator’s address | 300 S BRUCE STREET, MARSHALL, MN, 56258 |
| Administrator’s telephone number | 5075329661 |
Number of participants as of the end of the plan year
| Active participants | 214 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 2 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 53 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-26 |
| Name of individual signing | SHARON WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 5075329661 |
| Plan sponsor’s mailing address | 300 S BRUCE STREET, MARSHALL, MN, 56258 |
| Plan sponsor’s address | 300 S BRUCE STREET, MARSHALL, MN, 56258 |
Plan administrator’s name and address
| Administrator’s EIN | 410919153 |
| Plan administrator’s name | AVERA MARSHALL REGIONAL MEDICAL CENTER |
| Plan administrator’s address | 300 S BRUCE STREET, MARSHALL, MN, 56258 |
| Administrator’s telephone number | 5075329661 |
Number of participants as of the end of the plan year
| Active participants | 238 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 3 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 32 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-12-14 |
| Name of individual signing | SHARON WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 5075379163 |
| Plan sponsor’s mailing address | 300 SOUTH BRUCE STREET, MARSHALL, MN, 56258 |
| Plan sponsor’s address | 300 SOUTH BRUCE STREET, MARSHALL, MN, 56258 |
Plan administrator’s name and address
| Administrator’s EIN | 410919153 |
| Plan administrator’s name | AVERA MARSHALL REGIONAL MEDICAL CENTER |
| Plan administrator’s address | 300 SOUTH BRUCE STREET, MARSHALL, MN, 56258 |
| Administrator’s telephone number | 5075379163 |
Number of participants as of the end of the plan year
| Active participants | 266 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-12-14 |
| Name of individual signing | SHARON WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-12-14 |
| Name of individual signing | SHARON WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Avera Marshall | Aplicant | 300 S Bruce Str, Marshall, MN 56258 |
| Filing Name | Filing date |
|---|---|
| Assumed Name Nameholder | 2009-11-18 |
| Original Filing - Assumed Name | 2004-08-11 |
| Assumed Name Business Name (Business Name: Avera Marshall Regional Medical Center) | 2004-08-11 |
Date of last update: 24 Sep 2024
Sources: Minnesota's Official State Website
