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Northfield Care Center, Inc.

Company Details

Name: Northfield Care Center, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 20 Oct 1967 (57 years ago)
Company Number: 2da6772e-b8d4-e011-a886-001ec94ffe7f
File Number: G-817
Registered Office Address: 900 Cannon Valley Drv, Northfield, MN 55057, USA
ZIP code: 55057
County: Rice County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2023 410954325 2024-10-15 NORTHFIELD CARE CENTER, INC. 121
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643474
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 27
Retired or separated participants receiving benefits 93
Number of participants with account balances as of the end of the plan year 120
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing TOM NIELSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing TOM NIELSEN
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2022 410954325 2023-12-08 NORTHFIELD CARE CENTER, INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643474
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 27
Retired or separated participants receiving benefits 94
Number of participants with account balances as of the end of the plan year 121

Signature of

Role Plan administrator
Date 2023-12-07
Name of individual signing TOM NIELSEN
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2021 410954325 2022-10-17 NORTHFIELD CARE CENTER, INC 121
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643474
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 104
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 15
Number of participants with account balances as of the end of the plan year 120

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing TOM NIELSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing TOM NIELSEN
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2020 410954325 2021-10-12 NORTHFIELD CARE CENTER, INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643465
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 32
Retired or separated participants receiving benefits 89
Number of participants with account balances as of the end of the plan year 121

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2019 410954325 2020-10-14 NORTHFIELD CARE CENTER, INC. 121
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643465
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 37
Retired or separated participants receiving benefits 83
Number of participants with account balances as of the end of the plan year 120

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2018 410954325 2019-10-11 NORTHFIELD CARE CENTER, INC. 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643465
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 38
Retired or separated participants receiving benefits 83

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2017 410954325 2018-10-10 NORTHFIELD CARE CENTER, INC. 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643465
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 34
Retired or separated participants receiving benefits 84
Number of participants with account balances as of the end of the plan year 118

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2016 410954325 2017-10-12 NORTHFIELD CARE CENTER, INC. 125
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643465
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 31
Retired or separated participants receiving benefits 87
Number of participants with account balances as of the end of the plan year 118

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2015 410954325 2016-10-04 NORTHFIELD CARE CENTER, INC. 134
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643465
Plan sponsor’s mailing address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334
Plan sponsor’s address 900 CANNON VALLEY DR, NORTHFIELD, MN, 550571334

Number of participants as of the end of the plan year

Active participants 34
Retired or separated participants receiving benefits 91
Number of participants with account balances as of the end of the plan year 125

Signature of

Role Plan administrator
Date 2016-10-04
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-04
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature
NORTHFIELD CARE CENTER INC. RETIREMENT PLAN 2014 410954325 2015-10-12 NORTHFIELD CARE CENTER, INC. 137
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-12-01
Business code 623000
Sponsor’s telephone number 5076643465
Plan sponsor’s mailing address 900 CANNON VALLEY DRIVE, NORTHFIELD, MN, 55057
Plan sponsor’s address 900 CANNON VALLEY DRIVE, NORTHFIELD, MN, 55057

Number of participants as of the end of the plan year

Active participants 38
Retired or separated participants receiving benefits 96
Number of participants with account balances as of the end of the plan year 134

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing SCOTT BLUM
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Tom Nielsen President 900 CANNON VALLEY DR # E, NORTHFIELD, MN 55057–1334, United States

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2013-04-03
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2013-02-27
Nonprofit Corporation (Domestic) Restated Articles 2007-03-12
Nonprofit Corporation (Domestic) Business Name (Business Name: Northfield Care Center, Inc.) 1995-11-21
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1991-01-31
Amendment - Nonprofit Corporation (Domestic) 1986-07-17
Original Filing - Nonprofit Corporation (Domestic) 1967-10-20
Nonprofit Corporation (Domestic) Business Name (Business Name: Northfield Retirement Center, Inc.) 1967-10-20

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website