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  5. Northwest Residence, Inc

Northwest Residence, Inc

Company Details

Name: Northwest Residence, Inc
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 21 Oct 2019 (5 years ago)
Company Number: 2b7868cf-3ff4-e911-9187-00155d01b4fc
File Number: 1112594300034
Registered Office Address: 1821 University Ave W Suite S-142, St Paul, MN 55104, USA
Principal Executive Office Address: 1821 University Ave W, Suite S 142, St Paul, MN 55104–5510, USA
ZIP code: 55104
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUPPORTIVE NORTHWEST OPTIONS 401(K) PLAN 2012 411452262 2013-09-19 NORTHWEST RESIDENCE, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621610
Sponsor’s telephone number 7635663650
Plan sponsor’s address 15100 STONE ROAD, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-19
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE NORTHWEST OPTIONS 401(K) PLAN 2012 411452262 2013-12-17 NORTHWEST RESIDENCE, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621610
Sponsor’s telephone number 7635663650
Plan sponsor’s address 15100 STONE ROAD, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-16
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE NORTHWEST OPTIONS 401(K) PLAN 2011 411452262 2012-10-09 NORTHWEST RESIDENCE, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621610
Sponsor’s telephone number 7635663650
Plan sponsor’s address 15100 STONE ROAD, WAYZATA, MN, 55391

Plan administrator’s name and address
Administrator’s EIN 411452262
Plan administrator’s name NORTHWEST RESIDENCE, INC.
Plan administrator’s address 15100 STONE ROAD, WAYZATA, MN, 55391
Administrator’s telephone number 7635663650

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE NORTHWEST OPTIONS 401(K) PLAN 2010 411452262 2011-07-14 NORTHWEST RESIDENCE, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621610
Sponsor’s telephone number 7635663650
Plan sponsor’s address 15100 STONE ROAD, WAYZATA, MN, 55391

Plan administrator’s name and address
Administrator’s EIN 411452262
Plan administrator’s name NORTHWEST RESIDENCE, INC.
Plan administrator’s address 15100 STONE ROAD, WAYZATA, MN, 55391
Administrator’s telephone number 7635663650

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-13
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE NORTHWEST OPTIONS 401(K) PLAN 2009 411452262 2010-08-27 NORTHWEST RESIDENCE, INC. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621610
Sponsor’s telephone number 7635663650
Plan sponsor’s address 15100 STONE ROAD, WAYZATA, MN, 55391

Plan administrator’s name and address
Administrator’s EIN 411452262
Plan administrator’s name NORTHWEST RESIDENCE, INC.
Plan administrator’s address 15100 STONE ROAD, WAYZATA, MN, 55391
Administrator’s telephone number 7635663650

Signature of
Role Plan administrator
Date 2010-08-27
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-27
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE NORTHWEST OPTIONS 401(K) PLAN 2009 411452262 2010-07-20 NORTHWEST RESIDENCE, INC. 100
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621610
Sponsor’s telephone number 7635663650
Plan sponsor’s address 15100 STONE ROAD, WAYZATA, MN, 55391

Plan administrator’s name and address
Administrator’s EIN 411452262
Plan administrator’s name NORTHWEST RESIDENCE, INC.
Plan administrator’s address 15100 STONE ROAD, WAYZATA, MN, 55391
Administrator’s telephone number 7635663650

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-19
Name of individual signing DIANE OLLENDICK WRIGHT
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Prosper Dzameshie Chief Executive Officer 1821 University Ave W, Suite S 142, MN 55104–5510, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2022-01-26
Original Filing - Business Corporation (Domestic) (Business Name: Northwest Residence, Inc) 2019-10-21

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Related by address

No related companies by address

Date of last update: 05 Oct 2024

Sources: Minnesota's Official State Website

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