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  5. Pine Habilitation and Supported Employment, Inc.

Pine Habilitation and Supported Employment, Inc.

Company Details

Name: Pine Habilitation and Supported Employment, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 28 Sep 1970 (54 years ago)
Company Number: 1aaf567a-9ed4-e011-a886-001ec94ffe7f
File Number: I-710
Registered Office Address: 104 Main, Sandstone, MN 55072, USA
ZIP code: 55072
County: Pine County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
P.H.A.S.E. 401(K) RETIREMENT PLAN 2023 410963283 2024-01-18 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2024-01-18
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2022 410963283 2023-01-23 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2023-01-23
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2021 410963283 2022-01-19 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2022-01-19
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2020 410963283 2021-02-22 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2021-02-22
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2019 410963283 2020-02-19 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2020-02-19
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2018 410963283 2019-01-30 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2019-01-30
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2017 410963283 2018-02-26 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2018-02-26
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2016 410963283 2017-04-05 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2017-04-05
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2015 410963283 2016-07-27 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing JOYCE LAMERE
Valid signature Filed with authorized/valid electronic signature
P.H.A.S.E. 401(K) RETIREMENT PLAN 2014 410963283 2015-04-22 PINE HABILITATION AND SUPPORTED EMPLOYMENT, INC 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 3202452246
Plan sponsor’s address 106 MAIN STREET, PO BOX 126, SANDSTONE, MN, 550720126

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing TIM SCHMUTZER
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Tim Schmutzer President PO BOX 126, 104 MAIN ST, SANDSTONE, MN 55072, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2022-01-05
Merger Survivor - Nonprofit Corporation (Domestic) 2016-04-27
Nonprofit Corporation (Domestic) Business Name (Business Name: Pine Habilitation and Supported Employment, Inc.) 1998-01-08
Amendment - Nonprofit Corporation (Domestic) 1998-01-08
Nonprofit Corporation (Domestic) Business Name (Business Name: Pine County Developmental Achievement Center, Inc.) 1984-10-31
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1984-10-31
Original Filing - Nonprofit Corporation (Domestic) 1970-09-28
Nonprofit Corporation (Domestic) Business Name (Business Name: Pine County Day Activity Center, Inc.) 1970-09-28

Related by officers

No related officers

Related by address

104 Main, Sandstone, MN 55072, USA

XMAT-III, LLC CMCC-I, Inc. XMAT-I, LLC

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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