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Care Providers of Minnesota, Inc.

Company Details

Name: Care Providers of Minnesota, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Oct 1962 (62 years ago)
Company Number: 19047d28-b8d4-e011-a886-001ec94ffe7f
File Number: E-392
Registered Office Address: 7851 Metro Pkwy #200, Blmgtn, MN 55425, USA
ZIP code: 55425
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2023 410855906 2024-06-14 CARE PROVIDERS OF MINNESOTA, INC. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528542844
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2024-06-14
Name of individual signing SHANNON KELLEN
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2022 410855906 2023-07-14 CARE PROVIDERS OF MINNESOTA, INC. 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528542844
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2023-07-14
Name of individual signing SHANNON KELLEN
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2021 410855906 2022-07-14 CARE PROVIDERS OF MINNESOTA, INC. 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528542844
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing SHANNON KELLEN
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2020 410855906 2021-07-01 CARE PROVIDERS OF MINNESOTA, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528542844
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2021-07-01
Name of individual signing SHANNON KELLEN
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2019 410855906 2020-05-28 CARE PROVIDERS OF MINNESOTA, INC. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528542844
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2020-05-28
Name of individual signing SHANNON KELLEN
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2018 410855906 2019-06-04 CARE PROVIDERS OF MINNESOTA, INC. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528512493
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2019-06-04
Name of individual signing JASON LIND
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2017 410855906 2018-06-04 CARE PROVIDERS OF MINNESOTA, INC. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528512493
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2018-06-04
Name of individual signing JASON LIND
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2016 410855906 2017-06-07 CARE PROVIDERS OF MINNESOTA, INC. 27
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528512493
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2017-06-07
Name of individual signing JASON LIND
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2015 410855906 2016-06-15 CARE PROVIDERS OF MINNESOTA, INC. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528512493
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2016-06-15
Name of individual signing JASON LIND
Valid signature Filed with authorized/valid electronic signature
CARE PROVIDERS OF MINNESOTA, INC. 401(K) RETIREMENT SAVINGS PLAN 2014 410855906 2015-06-08 CARE PROVIDERS OF MINNESOTA, INC. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-08-01
Business code 541990
Sponsor’s telephone number 9528512493
Plan sponsor’s address 7851 METRO PARKWAY SUITE 200, BLOOMINGTON, MN, 55425

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing JASON LIND
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Thomas Pearson President 7851 METRO PKWY STE 200, BLOOMINGTON, MN 55425–1524, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2013-04-19
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2013-02-27
Amendment - Nonprofit Corporation (Domestic) 1989-01-20
Consent to Use of Name - Nonprofit Corporation (Domestic) 1987-05-21
Nonprofit Corporation (Domestic) Business Name (Business Name: Care Providers of Minnesota, Inc.) 1987-02-23
Nonprofit Corporation (Domestic) Business Name (Business Name: Minnesota Association of Health Care Facilities,Inc.) 1972-08-08
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1970-01-05
Original Filing - Nonprofit Corporation (Domestic) 1962-10-16
Nonprofit Corporation (Domestic) Business Name (Business Name: The The Minnesota Nursing Home Association, Inc.) 1962-10-16

Date of last update: 29 Nov 2024

Sources: Minnesota's Official State Website