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  5. Buffalo Lake Healthcare Center, Inc.

Buffalo Lake Healthcare Center, Inc.

Company Details

Name: Buffalo Lake Healthcare Center, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 Nov 2008 (16 years ago)
Company Number: 4c9553ba-92d4-e011-a886-001ec94ffe7f
File Number: 3075004-3
Registered Office Address: 703 W Yellowstone Trl, Buffalo Lake, MN 55314, USA
ZIP code: 55314
County: Renville County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 401(K) PLAN 2023 263686845 2024-03-14 BUFFALO LAKE HEALTHCARE CENTER, INC 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2024-03-14
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2022 263686845 2023-05-06 BUFFALO LAKE HEALTHCARE CENTER, INC 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2023-05-06
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-06
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2021 263686845 2022-06-01 BUFFALO LAKE HEALTHCARE CENTER, INC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-01
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2020 263686845 2021-05-05 BUFFALO LAKE HEALTHCARE CENTER, INC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-05
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2019 263686845 2020-04-23 BUFFALO LAKE HEALTHCARE CENTER, INC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2020-04-23
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-23
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2018 263686845 2019-05-20 BUFFALO LAKE HEALTHCARE CENTER, INC 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-20
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2017 263686845 2018-06-04 BUFFALO LAKE HEALTHCARE CENTER, INC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-04
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2016 263686845 2017-07-26 BUFFALO LAKE HEALTHCARE CENTER, INC 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-26
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2015 263686845 2016-07-23 BUFFALO LAKE HEALTHCARE CENTER, INC 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2016-07-23
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-23
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
BUFFALO LAKE HEALTHCARE CENTER, INC 401K PLAN 2014 263686845 2015-03-09 BUFFALO LAKE HEALTHCARE CENTER, INC 78
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 3208335364
Plan sponsor’s address P.O. BOX 368, BUFFALO LAKE, MN, 55314

Signature of
Role Plan administrator
Date 2015-03-09
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-09
Name of individual signing MARK RUST
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Mary Baumgarten President 703 W Yellowstone Trl, Buffalo Lake, MN 55314, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2020-08-19
Annual Reinstatement - Nonprofit Corporation (Domestic) 2013-07-08
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2013-02-27
Original Filing - Nonprofit Corporation (Domestic) (Business Name: Buffalo Lake Healthcare Center, Inc.) 2008-11-06

Related by officers

Mary Baumgarten

Buffalo Lake Area Housing, Inc. MBS & Associates, Inc.

Related by address

703 W Yellowstone Trl, Buffalo Lake, MN 55314, USA

Friends, Relatives, Enabling Elderly (F.R.E.E.) Buffalo Lake Healthcare Center, Inc. Buffalo Lake Area Housing, Inc. Westview Estates

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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