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Northern Lights Health LLC

Company Details

Name: Northern Lights Health LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 23 Sep 2019 (5 years ago)
Company Number: 3bd8b173-36de-e911-9185-00155d01b4fc
File Number: 1103734000029
Registered Office Address: 212 W Lake St, WACONIA, MN 55387–5538, USA
Principal Executive Office Address: 212 W LAKE ST, WACONIA, MN 55387–1014, USA
ZIP code: 55387
County: Carver County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHERN LIGHTS HEALTH 401(K) RETIREMENT PLAN 2023 843138002 2024-10-14 NORTHERN LIGHTS HEALTH, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-10-01
Business code 621399
Sponsor’s telephone number 6516034565
Plan sponsor’s address PO BOX 248, ROSEMOUNT, MN, 55068

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing TIFFANY RADKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-14
Name of individual signing TIFFANY RADKE
Valid signature Filed with authorized/valid electronic signature
NORTHERN LIGHTS HEALTH 401(K) RETIREMENT PLAN 2022 843138002 2023-08-27 NORTHERN LIGHTS HEALTH, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-10-01
Business code 621399
Sponsor’s telephone number 6516034565
Plan sponsor’s address 212 WEST LAKE STREET, WACONIA, MN, 55387

Signature of

Role Plan administrator
Date 2023-08-27
Name of individual signing TIFFANY RADKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-27
Name of individual signing TIFFANY RADKE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
TIFFANY RADKE Manager 212 W LAKE ST, WACONIA, MN 55387–1014, USA

Filing

Filing Name Filing date
Amendment - Limited Liability Company (Domestic)Election to Become a Professional Firm Professional Service - Registered Nursing 2020-02-11
Original Filing - Limited Liability Company (Domestic) (Business Name: Northern Lights Health LLC) 2019-09-23

Date of last update: 16 Dec 2024

Sources: Minnesota's Official State Website