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  5. Lakeland Health Services, Inc.

Lakeland Health Services, Inc.

Company Details

Name: Lakeland Health Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Nov 2000 (24 years ago)
Company Number: 37ec635a-b6d4-e011-a886-001ec94ffe7f
File Number: 11K-570
Principal Executive Office Address: 10600 OLD COUNTY ROAD 15, PLYMOUTH, MN 55441–6200, USA
Registered Office Address: 10600 OLD COUNTY ROAD 15 STE 140, PLYMOUTH, MN 55441–6201, USA
ZIP code: 55441
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND HEALTH SERVICES, INC. 401K PLAN 2023 411989801 2024-09-14 LAKELAND HEALTH SERVICES, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Signature of
Role Plan administrator
Date 2024-09-14
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401K PLAN 2022 411989801 2023-07-17 LAKELAND HEALTH SERVICES, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 2021 411989801 2022-09-27 LAKELAND HEALTH SERVICES, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401 K PLAN 2020 411989801 2021-03-31 LAKELAND HEALTH SERVICES, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Plan administrator’s name and address
Administrator’s EIN 411989801
Plan administrator’s name LAKELAND HEALTH SERVICES, INC.
Plan administrator’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441
Administrator’s telephone number 7633547647

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401 K PLAN 2019 411989801 2020-03-24 LAKELAND HEALTH SERVICES, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Plan administrator’s name and address
Administrator’s EIN 411989801
Plan administrator’s name LAKELAND HEALTH SERVICES, INC.
Plan administrator’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441
Administrator’s telephone number 7633547647

Signature of
Role Plan administrator
Date 2020-03-24
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401 K PLAN 2018 411989801 2019-02-27 LAKELAND HEALTH SERVICES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Plan administrator’s name and address
Administrator’s EIN 411989801
Plan administrator’s name LAKELAND HEALTH SERVICES, INC.
Plan administrator’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441
Administrator’s telephone number 7633547647

Signature of
Role Plan administrator
Date 2019-02-27
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401 K PLAN 2017 411989801 2018-04-11 LAKELAND HEALTH SERVICES, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Plan administrator’s name and address
Administrator’s EIN 411989801
Plan administrator’s name LAKELAND HEALTH SERVICES, INC.
Plan administrator’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441
Administrator’s telephone number 7633547647

Signature of
Role Plan administrator
Date 2018-04-11
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401 K PLAN 2016 411989801 2017-02-26 LAKELAND HEALTH SERVICES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Plan administrator’s name and address
Administrator’s EIN 411989801
Plan administrator’s name LAKELAND HEALTH SERVICES, INC.
Plan administrator’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441
Administrator’s telephone number 7633547647

Signature of
Role Plan administrator
Date 2017-02-26
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401 K PLAN 2015 411989801 2016-04-19 LAKELAND HEALTH SERVICES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Plan administrator’s name and address
Administrator’s EIN 411989801
Plan administrator’s name LAKELAND HEALTH SERVICES, INC.
Plan administrator’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441
Administrator’s telephone number 7633547647

Signature of
Role Plan administrator
Date 2016-04-19
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature
LAKELAND HEALTH SERVICES, INC. 401 K PLAN 2014 411989801 2015-03-17 LAKELAND HEALTH SERVICES, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 7635121551
Plan sponsor’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441

Plan administrator’s name and address
Administrator’s EIN 411989801
Plan administrator’s name LAKELAND HEALTH SERVICES, INC.
Plan administrator’s address 10600 OLD COUNTY RD 15, PLYMOUTH, MN, 55441
Administrator’s telephone number 7633547647

Signature of
Role Plan administrator
Date 2015-03-17
Name of individual signing GREGORY SWIRTZ
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
George Omae Chief Executive Officer 10600 Old County Road 15, Plymouth, MN 55441–6200, USA

Agent

Name Role
George Omae Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2024-11-06
Merger Survivor - Business Corporation (Domestic) 2024-07-31
Annual Reinstatement - Business Corporation (Domestic) 2022-04-06
Administrative Dissolution - Business Corporation (Domestic) 2022-01-25
Registered Office and/or Agent - Business Corporation (Domestic) 2003-12-15
Business Corporation (Domestic) Restated Articles 2001-10-17
Business Corporation (Domestic) Change of Shares 2001-10-17
Original Filing - Business Corporation (Domestic) 2000-11-30
Business Corporation (Domestic) Business Name (Business Name: Lakeland Health Services, Inc.) 2000-11-30

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Date of last update: 28 Dec 2024

Sources: Minnesota's Official State Website

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