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Hiawatha Homes, Inc.

Company Details

Name: Hiawatha Homes, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 23 Aug 1973 (51 years ago)
Company Number: 3f46ab46-b2d4-e011-a886-001ec94ffe7f
File Number: L-68
Registered Office Address: 1820 Valkyrie Drv NW, Rochester, MN 55901, USA
ZIP code: 55901
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIAWATHA HOMES, INC. 401(K) PROFIT SHARING PLAN 2023 411278404 2024-10-01 HIAWATHA HOMES, INC. 226
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s address 1820 VALKYRIE DRIVE, NW, ROCHESTER, MN, 55901
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN 2020 411278404 2021-08-02 HIAWATHA HOMES, INC. 258
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-07-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s mailing address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
Plan sponsor’s address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901

Number of participants as of the end of the plan year

Active participants 258
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2021-08-02
Name of individual signing CINDY S. OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN 2019 411278404 2020-07-14 HIAWATHA HOMES, INC. 69
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-07-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s mailing address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
Plan sponsor’s address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901

Number of participants as of the end of the plan year

Active participants 67

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN 2019 411278404 2020-07-14 HIAWATHA HOMES, INC. 4
Three-digit plan number (PN) 502
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s address 1820 VALKYRIE DR NW, ROCHESTER, MN, 55901

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN 2018 411278404 2019-06-28 HIAWATHA HOMES, INC. 58
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-07-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s mailing address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
Plan sponsor’s address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901

Number of participants as of the end of the plan year

Active participants 69

Signature of

Role Plan administrator
Date 2019-06-28
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-28
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN 2018 411278404 2019-06-28 HIAWATHA HOMES, INC. 4
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s address 1820 VALKYRIE DR NW, ROCHESTER, MN, 55901

Signature of

Role Plan administrator
Date 2019-06-28
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-28
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN 2017 411278404 2018-07-06 HIAWATHA HOMES, INC. 147
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-07-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s mailing address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
Plan sponsor’s address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901

Number of participants as of the end of the plan year

Active participants 150

Signature of

Role Plan administrator
Date 2018-07-06
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN 2017 411278404 2018-07-06 HIAWATHA HOMES, INC. 216
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s mailing address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
Plan sponsor’s address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901

Number of participants as of the end of the plan year

Active participants 226

Signature of

Role Plan administrator
Date 2018-07-06
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES, INC. EMPLOYEE GROUP WELFARE INSURANCE PLAN 2016 411278404 2017-07-18 HIAWATHA HOMES, INC. 158
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-07-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s mailing address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
Plan sponsor’s address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901

Number of participants as of the end of the plan year

Active participants 147

Signature of

Role Plan administrator
Date 2017-07-18
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-18
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
HIAWATHA HOMES FLEXIBLE BENEFITS PLAN AND MEDICAL REIMBURSEMENT PLAN 2016 411278404 2017-07-18 HIAWATHA HOMES, INC. 239
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5072897222
Plan sponsor’s mailing address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901
Plan sponsor’s address 1820 VALKYRIE DRIVE NW, ROCHESTER, MN, 55901

Number of participants as of the end of the plan year

Active participants 216

Signature of

Role Plan administrator
Date 2017-07-18
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-18
Name of individual signing CINDY OSTROWSKI
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Deborah Falbo President 1820 Valkyrie Drive NW, Rochester, MN 55901, USA

Filing

Filing Name Filing date
Amendment - Nonprofit Corporation (Domestic) 2015-01-12
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-02-13
Consent to Use of Name - Nonprofit Corporation (Domestic) 1983-04-29
Nonprofit Corporation (Domestic) Business Name (Business Name: Hiawatha Homes, Inc.) 1983-03-21
Original Filing - Nonprofit Corporation (Domestic) 1973-08-23
Nonprofit Corporation (Domestic) Business Name (Business Name: Hiawatha Children's Home, Inc.) 1973-08-23

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website