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DHC of Lakes Area, Inc.

Company Details

Name: DHC of Lakes Area, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 Sep 2017 (7 years ago)
Company Number: 3de65dad-8899-e711-8184-00155d01c6c6
File Number: 965014300027
Registered Office Address: 28943 Todd Line Rd, Staples, MN 56479, USA
Principal Executive Office Address: 13141 11TH AVE SW, PILLAGER, MN 56473, USA
ZIP code: 56479
County: Todd County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DHC OF LAKES AREA 401(K) PLAN 2023 822920247 2024-07-08 DHC OF LAKES AREA, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 236110
Sponsor’s telephone number 2188201218
Plan sponsor’s address 28943 TODD LINE ROAD, STAPLES, MN, 56479

Signature of

Role Plan administrator
Date 2024-07-08
Name of individual signing DEREK HOLST
Valid signature Filed with authorized/valid electronic signature
DHC OF LAKES AREA 401(K) PLAN 2022 822920247 2023-10-14 DHC OF LAKES AREA, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 236110
Sponsor’s telephone number 2188201218
Plan sponsor’s address 28943 TODD LINE ROAD, STAPLES, MN, 56479

Signature of

Role Plan administrator
Date 2023-10-14
Name of individual signing DEREK HOLST
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
DEREK HOLST Chief Executive Officer 13141 11TH AVE SW, PILLAGER, MN 56473, USA

Agent

Name Role
Derek D Holst Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2017-09-22
Original Filing - Business Corporation (Domestic) (Business Name: DHC of Lakes Area, Inc.) 2017-09-14

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website