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  5. HealthSource Solutions, LLC

HealthSource Solutions, LLC

Headquarter

Company Details

Name: HealthSource Solutions, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 13 Feb 2009 (16 years ago)
Company Number: 3a04ab43-93d4-e011-a886-001ec94ffe7f
File Number: 3212903-2
Registered Office Address: 3149 Fernbrook Lane, Plymouth, MN 55447, USA
Principal Executive Office Address: 10159 Wayzata Boulevard, Suite 100, Minnetonka, MN 55305, USA
ZIP code: 55447
County: Hennepin County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of HealthSource Solutions, LLC, ALABAMA 000-949-846 ALABAMA

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
RHWXBZU7AHE8 2025-01-08 3149 FERNBROOK LN N, MINNEAPOLIS, MN, 55447, 5320, USA 3149 FERNBROOK LN N, MINNEAPOLIS, MN, 55447, 5320, USA

Business Information
URL http://www.healthsource-solutions.com/
Congressional District 03
State/Country of Incorporation MN, USA
Activation Date 2024-01-11
Initial Registration Date 2010-10-26
Entity Start Date 2009-04-06
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 541611, 561210, 621999, 713940

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MARY M KRUSE
Role PRESIDENT/CEO
Address 3149 FERNBROOK LANE NORTH, PLYMOUTH, MN, 55447, USA
Government Business
Title PRIMARY POC
Name MARY M KRUSE
Role PRESIDENT/CEO
Address 3149 FERNBROOK LANE NORTH, PLYMOUTH, MN, 55447, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2023 264247212 2024-06-27 HEALTHSOURCE SOLUTIONS, LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 3149 FERNBROOK LANE NORTH, PLYMOUTH, MN, 55447

Signature of
Role Plan administrator
Date 2024-06-27
Name of individual signing MARY KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-27
Name of individual signing MARY KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2022 264247212 2023-07-13 HEALTHSOURCE SOLUTIONS, LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 3149 FERNBROOK LANE NORTH, PLYMOUTH, MN, 55447

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing MARY KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-13
Name of individual signing MARY KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2021 264247212 2022-07-11 HEALTHSOURCE SOLUTIONS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-11
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2020 264247212 2021-06-28 HEALTHSOURCE SOLUTIONS, LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-28
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2019 264247212 2020-06-30 HEALTHSOURCE SOLUTIONS, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-30
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2018 264247212 2019-06-13 HEALTHSOURCE SOLUTIONS, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2019-06-13
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-13
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2017 264247212 2018-07-25 HEALTHSOURCE SOLUTIONS, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing MARY M KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2016 264247212 2017-10-04 HEALTHSOURCE SOLUTIONS, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-04
Name of individual signing MARY M KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2015 264247212 2016-06-27 HEALTHSOURCE SOLUTIONS, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-27
Name of individual signing MARY M KRUSE
Valid signature Filed with authorized/valid electronic signature
HEALTHSOURCE SOLUTIONS, LLC 401(K) SAVINGS PLAN 2014 264247212 2015-06-15 HEALTHSOURCE SOLUTIONS, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 541600
Sponsor’s telephone number 7632870740
Plan sponsor’s address 10159 WAYZATA BOULEVARD, SUITE 100, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-15
Name of individual signing MARY M. KRUSE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Mary Kruse Manager 10159 Wayzata Boulevard, Suite 100, Minnetonka, MN 55305, USA

Agent

Name Role
Mary Kruse Agent

Filing

Filing Name Filing date
Amendment - Limited Liability Company (Domestic) 2021-03-25
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2009-04-22
Original Filing - Limited Liability Company (Domestic) 2009-02-13
Limited Liability Company (Domestic) Business Name (Business Name: HealthSource Solutions, LLC) 2009-02-13

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 75P00124F37002 2024-04-01 2024-10-31 2025-03-31
Unique Award Key CONT_AWD_75P00124F37002_7570_75P00123D00003_7570
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 1858119.42
Current Award Amount 1858119.42
Potential Award Amount 3127059.37

Description
Title FEDERAL OCCUPATIONAL HEALTH (FOH) WELLNESS AND HEALTH PROMOTION SERVICES - PURSUANT TO FAR 52.212-4, THE PURPOSE OF THIS BILATERAL MODIFICATION IS TO ADD FUNDS TO THE BASE PERIOD AND INCORPORATE THE REVISED PWS.
NAICS Code 713940: FITNESS AND RECREATIONAL SPORTS CENTERS
Product and Service Codes G003: SOCIAL- RECREATIONAL

Recipient Details
Recipient HEALTHSOURCE SOLUTIONS LLC
UEI RHWXBZU7AHE8
Recipient Address UNITED STATES, 3149 FERNBROOK LN N, MINNEAPOLIS, HENNEPIN, MINNESOTA, 554475320
DELIVERY ORDER AWARD 75P00123F37001 2023-04-01 2024-03-31 2024-03-31
Unique Award Key CONT_AWD_75P00123F37001_7570_75P00123D00003_7570
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 2791284.77
Current Award Amount 2791284.77
Potential Award Amount 2791284.77

Description
Title THIS IS AN IN-SCOPE MODIFICATION IN ACCORDANCE WITH 52.212-4 CONTRACT TERMS AND CONDITIONS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, AS FOLLOWS: (I) DE-OBLIGATE FUNDS FROM THE BASE PERIOD (TASK ORDER 1 (TO1)) LINE 1, FROM $1,809,739.35 BY $225,59
NAICS Code 713940: FITNESS AND RECREATIONAL SPORTS CENTERS
Product and Service Codes G003: SOCIAL- RECREATIONAL

Recipient Details
Recipient HEALTHSOURCE SOLUTIONS LLC
UEI RHWXBZU7AHE8
Recipient Address UNITED STATES, 3149 FERNBROOK LN N, MINNEAPOLIS, HENNEPIN, MINNESOTA, 554475320
No data IDV 75P00123D00003 2022-11-30 No data No data
Unique Award Key CONT_IDV_75P00123D00003_7570
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 15786340.34

Description
Title THE PURPOSE OF THIS MODIFICATION IS TO: UPDATE THE PERFORMANCE WORK STATEMENT (PWS) ATTACHMENT J.1 OF THE BASE CONTRACT: SECTIONS C.4.1 AND C.4.2 CHANGES ARE REDLINED WITHIN THE SECTIONS OF THE REVISED PWS, ADD SUPPLEMENTAL PRICING FOR THE LABOR CATE
NAICS Code 713940: FITNESS AND RECREATIONAL SPORTS CENTERS
Product and Service Codes G003: SOCIAL- RECREATIONAL

Recipient Details
Recipient HEALTHSOURCE SOLUTIONS LLC
UEI RHWXBZU7AHE8
Recipient Address UNITED STATES, 3149 FERNBROOK LN N, MINNEAPOLIS, HENNEPIN, MINNESOTA, 554475320

Related by officers

Mary Kruse

Kruse Consulting, Incorporated FERNBROOK TOWNOFFICE PARK ASSOCIATION, INC.

Related by address

No related companies by address

Date of last update: 29 Dec 2024

Sources: Minnesota's Official State Website

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