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  5. SANFORD HEALTH NETWORK

SANFORD HEALTH NETWORK

Company Details

Name: SANFORD HEALTH NETWORK
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Foreign)
Status: Active / In Good Standing
Date formed: 16 Dec 1985 (39 years ago)
Company Number: 2990d3df-b6d4-e011-a886-001ec94ffe7f
File Number: 33487
Registered Office Address: 1010 Dale St N, Saint Paul, MN 55117–5603, USA
ZIP code: 55117
County: Ramsey County
Place of Formation: South Dakota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2016 460388596 2017-10-09 SANFORD HEALTH NETWORK 54
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 SAINT OLAF AVE S, CANBY, MN, 562201433

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing BILL GASSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing BILL GASSEN
Valid signature Filed with authorized/valid electronic signature
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2015 460388596 2016-07-21 SANFORD HEALTH NETWORK 58
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 SAINT OLAF AVE S, CANBY, MN, 562201433

Plan administrator’s name and address
Administrator’s EIN 460388596
Plan administrator’s name SANFORD HEALTH NETWORK
Plan administrator’s address 112 SAINT OLAF AVE S, CANBY, MN, 562201433
Administrator’s telephone number 5072237277

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2014 460388596 2015-07-24 SANFORD HEALTH NETWORK 65
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 ST OLAF AVE S, CANBY, MN, 56220

Plan administrator’s name and address
Administrator’s EIN 460388596
Plan administrator’s name SANFORD HEALTH NETWORK
Plan administrator’s address 112 ST OLAF AVE S, CANBY, MN, 56220
Administrator’s telephone number 5072237277

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2013 460388596 2014-07-28 SANFORD HEALTH NETWORK 66
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 ST OLAF AVE S, CANBY, MN, 56220

Plan administrator’s name and address
Administrator’s EIN 460388596
Plan administrator’s name SANFORD HEALTH NETWORK
Plan administrator’s address 112 ST OLAF AVE S, CANBY, MN, 56220
Administrator’s telephone number 5072237277

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2012 460388596 2013-07-31 SANFORD HEALTH NETWORK 69
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 ST OLAF AVE S, CANBY, MN, 56220

Plan administrator’s name and address
Administrator’s EIN 460388596
Plan administrator’s name SANFORD HEALTH NETWORK
Plan administrator’s address 112 ST OLAF AVE S, CANBY, MN, 56220
Administrator’s telephone number 5072237277

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2011 460388596 2012-07-25 SANFORD HEALTH NETWORK 70
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 ST OLAF AVE S, CANBY, MN, 56220

Plan administrator’s name and address
Administrator’s EIN 460388596
Plan administrator’s name SANFORD HEALTH NETWORK
Plan administrator’s address 112 ST OLAF AVE S, CANBY, MN, 56220
Administrator’s telephone number 5072237277

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2010 460388596 2011-07-22 SANFORD HEALTH NETWORK 72
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 ST OLAF AVE S, CANBY, MN, 56220

Plan administrator’s name and address
Administrator’s EIN 460388596
Plan administrator’s name SANFORD HEALTH NETWORK
Plan administrator’s address 112 ST OLAF AVE S, CANBY, MN, 56220
Administrator’s telephone number 5072237277

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature
SANFORD CANBY MEDICAL CENTER 403(B) PLAN 2009 460388596 2010-10-14 SANFORD HEALTH NETWORK 66
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5072237277
Plan sponsor’s DBA name SANFORD CANBY MEDICAL CENTER
Plan sponsor’s address 112 ST OLAF AVE S, CANBY, MN, 56220

Plan administrator’s name and address
Administrator’s EIN 460388596
Plan administrator’s name SANFORD HEALTH NETWORK
Plan administrator’s address 112 ST OLAF AVE S, CANBY, MN, 56220
Administrator’s telephone number 5072237277

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing ALLISON NELSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T Corporation System Inc. Agent

Filing

Filing Name Filing date
Nonprofit Corporation (Foreign) Business Name (Business Name: SANFORD HEALTH NETWORK) 2007-03-20
Nonprofit Corporation (Foreign) Business Name (Business Name: SANFORD REGIONAL HEALTH SERVICES) 2007-02-26
Registered Office and/or Agent - Nonprofit Corporation (Foreign) 2002-02-01
Nonprofit Corporation (Foreign) Business Name (Business Name: SIOUX VALLEY REGIONAL HEALTH SERVICES) 2000-05-23
Nonprofit Corporation (Foreign) Business Name (Business Name: SIOUX VALLEY HEALTH NETWORK) 1997-09-22
Original Filing - Nonprofit Corporation (Foreign) 1985-12-16
Nonprofit Corporation (Foreign) Business Name (Business Name: Sioux Valley Service Corporation) 1985-12-16

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1010 Dale St N, Saint Paul, MN 55117–5603, USA

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Date of last update: 17 Dec 2024

Sources: Minnesota's Official State Website

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