| Name: | The Waters Senior Living, LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 09 Feb 1999 (26 years ago) |
| Company Number: | 2c8ea260-b4d4-e011-a886-001ec94ffe7f |
| File Number: | 10522-LLC |
| Registered Office Address: | 4929 Dale Drive, Edina, MN 55424, USA |
| Principal Executive Office Address: | 4929 DALE DR, EDINA, MN 55424–1177, United States |
| ZIP code: | 55424 |
| County: | Hennepin County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE WATERS SENIOR LIVING, LLC 401(K) PROFIT SHARING PLAN | 2012 | 411936363 | 2013-06-13 | THE WATERS SENIOR LIVING, LLC | 102 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-06-13 |
| Name of individual signing | LAURIE HONZA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-06-13 |
| Name of individual signing | LAURIE HONZA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-05-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9528863260 |
| Plan sponsor’s address | 9031 PENN AVENUE S., BLOOMINGTON, MN, 55431 |
Plan administrator’s name and address
| Administrator’s EIN | 411936363 |
| Plan administrator’s name | THE WATERS SENIOR LIVING, LLC |
| Plan administrator’s address | 9031 PENN AVENUE S., BLOOMINGTON, MN, 55431 |
| Administrator’s telephone number | 9528863260 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-13 |
| Name of individual signing | LAURIE HONZA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| James Schell | Manager | 4929 DALE DR, EDINA, MN 55424–1177, US |
| Filing Name | Filing date |
|---|---|
| Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) | 2018-01-01 |
| Amendment - Limited Liability Company (Domestic) (Business Name: The Waters Senior Living, LLC) | 2012-06-22 |
| Annual Reinstatement - Limited Liability Company (Domestic) | 2010-01-08 |
| Registered Office and/or Agent - Limited Liability Company (Domestic) | 2010-01-08 |
| Administrative Termination - Limited Liability Company (Domestic) | 2005-02-02 |
| Limited Liability Company (Domestic) Business Name (Business Name: Senior Care Management, LLC) | 1999-02-09 |
| Original Filing - Limited Liability Company (Domestic) | 1999-02-09 |
Date of last update: 01 Jan 2025
Sources: Minnesota's Official State Website
