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Lake Elmo Inn, Inc.

Company Details

Name: Lake Elmo Inn, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 15 Nov 1983 (41 years ago)
Company Number: 3ac5ce26-b0d4-e011-a886-001ec94ffe7f
File Number: 4M-858
Registered Office Address: 3442 Lake Elmo Ave N, Lake Elmo, MN 55042, USA
Principal Executive Office Address: 3442 LAKE ELMO AVE N, LAKE ELMO, MN 55042–9715, USA
ZIP code: 55042
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE ELMO INN EMPLOYEES' 401(K) PLAN 2023 411462570 2024-10-10 LAKE ELMO INN, INC. 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address PO BOX 182, LAKE ELMO AVENUE NORTH, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing MANDI LEONARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing MANDI LEONARD
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2022 411462570 2023-08-24 LAKE ELMO INN, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVE N, PO BOX 182, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2023-08-24
Name of individual signing NICKI MAGILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-24
Name of individual signing NICKI MAGILL
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2021 411462570 2022-09-26 LAKE ELMO INN, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVE N, PO BOX 182, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2022-09-26
Name of individual signing NICOLE MAGILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-26
Name of individual signing NICOLE MAGILL
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2020 411462570 2021-07-07 LAKE ELMO INN, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVE N, PO BOX 182, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2021-07-07
Name of individual signing NICKI MAGILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-07
Name of individual signing NICKI MAGILL
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2019 411462570 2020-08-05 LAKE ELMO INN, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVE N, PO BOX 182, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2020-08-05
Name of individual signing NICKI MAGILL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-05
Name of individual signing NICKI MAGILL
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2018 411462570 2019-07-03 LAKE ELMO INN, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVE N, PO BOX 182, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2019-07-03
Name of individual signing NICKI MAGILL
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2017 411462570 2018-07-30 LAKE ELMO INN, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVE N, PO BOX 182, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing RICHARD S SCHILTZ
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2016 411462570 2017-09-08 LAKE ELMO INN, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVE N, PO BOX 182, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2017-09-08
Name of individual signing RICHARD S SCHILTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-08
Name of individual signing RICHARD S SCHILTZ
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2015 411462570 2016-07-22 LAKE ELMO INN, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVENUE NORTH, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing RICHARD S SCHILTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing RICHARD S SCHILTZ
Valid signature Filed with authorized/valid electronic signature
LAKE ELMO INN EMPLOYEES' 401(K) PLAN AND TRUST 2014 411462570 2015-07-28 LAKE ELMO INN, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 722511
Sponsor’s telephone number 6517778495
Plan sponsor’s address 3442 LAKE ELMO AVENUE NORTH, LAKE ELMO, MN, 550420182

Signature of

Role Plan administrator
Date 2015-07-28
Name of individual signing RICHARD SCHILTZ
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
John F Schiltz Chief Executive Officer 3442 LAKE ELMO AVE N, LAKE ELMO, MN 55042–9715, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Lake Elmo Inn, Inc.) 1983-11-15

Date of last update: 18 Jan 2025

Sources: Minnesota's Official State Website