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CCRI, Inc.

Company Details

Name: CCRI, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 25 Feb 1977 (48 years ago)
Company Number: 20d03f6f-b7d4-e011-a886-001ec94ffe7f
File Number: P-80
Registered Office Address: 2903 15th Street South, Moorhead, MN 56560–5111, USA
ZIP code: 56560
County: Clay County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EKF6Y8FWRPA4 2025-03-05 2903 15TH ST S, MOORHEAD, MN, 56560, 5111, USA 2903 15TH ST S, MOORHEAD, MN, 56560, 5111, USA

Business Information

Doing Business As CCRI
URL www.CCRIMoorhead.org
Congressional District 07
State/Country of Incorporation MN, USA
Activation Date 2024-03-07
Initial Registration Date 2006-03-06
Entity Start Date 1977-02-25
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JENNIFER BRANDT
Role FINANCE DIRECTOR
Address 2903 15 STREET SOUTH, MOORHEAD, MN, 56560, USA
Title ALTERNATE POC
Name SHANNON BOCK
Role EXECUTIVE DIRECTOR
Address CCRI, 2903 15 STREET SOUTH, MOORHEAD, MN, 56560, USA
Government Business
Title PRIMARY POC
Name JENNIFER BRANDT
Role FINANCE DIRECTOR
Address 2903 15 STREET SOUTH, MOORHEAD, MN, 56560, USA
Title ALTERNATE POC
Name SHANNON BOCK
Role EXECUTIVE DIRECTOR
Address 2903 15 STREET SOUTH, MOORHEAD, MN, 56560, USA
Past Performance
Title PRIMARY POC
Name JENNIFER BRANDT
Role FINANCE DIRECTOR
Address 2903 15 STREET SOUTH, MOORHEAD, MN, 56560, USA
Title ALTERNATE POC
Name SHANNON BOCK
Role EXECUTIVE DIRECTOR
Address CCRI, 2903 15 STREET SOUTH, MOORHEAD, MN, 56560, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CCRI HEALTH PLAN 2023 411294489 2024-06-26 CCRI INC 189
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s mailing address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
Plan sponsor’s address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111

Number of participants as of the end of the plan year

Active participants 223

Signature of

Role Plan administrator
Date 2024-06-26
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-26
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
CCRI LIFE & DENTAL PLAN 2023 411294489 2024-06-27 CCRI INC 211
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s mailing address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
Plan sponsor’s address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111

Number of participants as of the end of the plan year

Active participants 252

Signature of

Role Plan administrator
Date 2024-06-27
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-27
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CCRI INC 2023 411294489 2024-07-15 CCRI INC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s address 2903 15TH ST S, MOORHEAD, MN, 565605111

Signature of

Role Plan administrator
Date 2024-07-15
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-15
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
CCRI HEALTH PLAN 2022 411294489 2023-07-20 CCRI INC 180
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s mailing address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
Plan sponsor’s address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111

Number of participants as of the end of the plan year

Active participants 194

Signature of

Role Plan administrator
Date 2023-07-20
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
CCRI LIFE & DENTAL PLAN 2022 411294489 2023-07-30 CCRI INC 188
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s mailing address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
Plan sponsor’s address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111

Number of participants as of the end of the plan year

Active participants 211

Signature of

Role Plan administrator
Date 2023-07-30
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-30
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CCRI INC 2022 411294489 2023-07-24 CCRI INC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s address 2903 15TH ST S, MOORHEAD, MN, 565605111

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-24
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
CCRI HEALTH PLAN 2021 411294489 2022-07-12 CCRI INC 184
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s mailing address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
Plan sponsor’s address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111

Number of participants as of the end of the plan year

Active participants 181

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
CCRI LIFE & DENTAL PLAN 2021 411294489 2022-07-27 CCRI INC 204
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s mailing address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
Plan sponsor’s address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111

Number of participants as of the end of the plan year

Active participants 188

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-27
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF CCRI INC 2021 411294489 2022-07-12 CCRI INC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s address 2903 15TH ST S, MOORHEAD, MN, 565605111

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
CCRI HEALTH PLAN 2020 411294489 2021-07-14 CCRI INC 106
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 623000
Sponsor’s telephone number 2182366730
Plan sponsor’s mailing address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111
Plan sponsor’s address 2903 15TH STREET SOUTH, MOORHEAD, MN, 565605111

Number of participants as of the end of the plan year

Active participants 184

Signature of

Role Plan administrator
Date 2021-07-14
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-14
Name of individual signing JENNIFER BRANDT
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Shannon Bock President 2903 15TH ST S, MOORHEAD, MN 56560–5111, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2014-07-25
Nonprofit Corporation (Domestic) Business Name (Business Name: CCRI, Inc.) 2002-09-13
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1984-06-04
Amendment - Nonprofit Corporation (Domestic) 1977-09-12
Original Filing - Nonprofit Corporation (Domestic) 1977-02-25
Nonprofit Corporation (Domestic) Business Name (Business Name: Clay County Residence, Inc.) 1977-02-25

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website