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Valley Care and Rehab, LLC

Company Details

Name: Valley Care and Rehab, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 24 Aug 2015 (9 years ago)
Company Number: 43dcd6c8-734a-e511-b14d-001ec94ffe7f
File Number: 838173700023
Registered Office Address: 9288 140th Ave S, Sabin, MN 56580, USA
Principal Executive Office Address: 9288 140th Ave So, Sabin, MN 56580, USA
ZIP code: 56580
County: Clay County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VALLEY CARE AND REHAB 401(K) & PSP 2023 474864042 2024-05-24 VALLEY CARE AND REHAB, LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2024-05-24
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-24
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature
VALLEY CARE AND REHAB 401(K) & PSP 2022 474864042 2023-06-14 VALLEY CARE AND REHAB, LLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-14
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature
VALLEY CARE AND REHAB 401(K) & PSP 2021 474864042 2022-06-03 VALLEY CARE AND REHAB, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2022-06-03
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-03
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature
VALLEY CARE AND REHAB 401(K) & PSP 2020 474864042 2021-04-19 VALLEY CARE AND REHAB, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2021-04-19
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-19
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature
VALLEY CARE AND REHAB 401(K) & PSP 2019 474864042 2020-04-24 VALLEY CARE AND REHAB, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2020-04-23
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-24
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature
VALLEY CARE AND REHAB 401(K) & PSP 2018 474864042 2019-06-27 VALLEY CARE AND REHAB, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2019-06-27
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-27
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature
VALLEY CARE AND REHAB 401(K) & PSP 2017 474864042 2018-06-11 VALLEY CARE AND REHAB, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2018-06-01
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-11
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature
VALLEY CARE AND REHAB 401(K) & PSP 2016 474864042 2017-07-19 VALLEY CARE AND REHAB, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 2183542254
Plan sponsor’s address 600 5TH STREET S.E., BARNESVILLE, MN, 56514

Signature of

Role Plan administrator
Date 2017-07-10
Name of individual signing MARK RUSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-19
Name of individual signing DEBRA RUSTAD
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Valley Care and Rehab Manager 600 5th St SE PO BOX 129, Barnesville, MN 56514, USA

Filing

Filing Name Filing date
Original Filing - Limited Liability Company (Domestic) (Business Name: Valley Care and Rehab, LLC) 2015-08-24

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website