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  5. Rainy Lake Medical Center

Rainy Lake Medical Center

Company Details

Name: Rainy Lake Medical Center
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 01 Jul 2009 (16 years ago)
Company Number: 55337245-94d4-e011-a886-001ec94ffe7f
File Number: 3400321-2
Principal Place of Business Address: 1400 Hwy 71, International Falls, MN 56649–2189, USA
ZIP code: 56649
County: Koochiching County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION EMPLOYEES' PENSION PLAN 2022 410726171 2023-10-09 RAINY LAKE MEDICAL CENTER 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 2182834481
Plan sponsor’s address 1400 HIGHWAY 71, INTERNATIONAL FALLS, MN, 566492154

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing KRIS FOSS
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION EMPLOYEES' PENSION PLAN 2021 410726171 2022-07-29 RAINY LAKE MEDICAL CENTER 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 2182834481
Plan sponsor’s address 1400 HIGHWAY 71, INTERNATIONAL FALLS, MN, 566492154

Signature of
Role Plan administrator
Date 2022-07-29
Name of individual signing MICHAEL KATIGBAK
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION EMPLOYEES' PENSION PLAN 2020 410726171 2021-07-29 RAINY LAKE MEDICAL CENTER 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 2182834481
Plan sponsor’s address 1400 HIGHWAY 71, INTERNATIONAL FALLS, MN, 566492154

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing MELISSA MARCOTTE
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION EMPLOYEES' PENSION PLAN 2019 410726171 2020-10-11 RAINY LAKE MEDICAL CENTER 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 2182834481
Plan sponsor’s address 1400 HIGHWAY 71, INTERNATIONAL FALLS, MN, 566492154

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing MELISSA MARCOTTE
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION EMPLOYEES' PENSION PLAN 2018 410726171 2019-06-25 RAINY LAKE MEDICAL CENTER 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 2182834481
Plan sponsor’s address 1400 HIGHWAY 71, INTERNATIONAL FALLS, MN, 566492154

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing DAVID MONSON
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION EMPLOYEES' PENSION PLAN 2017 410726171 2018-05-03 RAINY LAKE MEDICAL CENTER 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 2182834481
Plan sponsor’s address 1400 HIGHWAY 71, INTERNATIONAL FALLS, MN, 566492154

Signature of
Role Plan administrator
Date 2018-05-03
Name of individual signing DAVID MONSON
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION EMPLOYEES' PENSION PLAN 2016 410726171 2017-07-06 RAINY LAKE MEDICAL CENTER 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-01-01
Business code 622000
Sponsor’s telephone number 2182834481
Plan sponsor’s address 1400 HIGHWAY 71, INTERNATIONAL FALLS, MN, 566492154

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing DAVID MONSON
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Intn'l Falls Memor Hosp Assoc Aplicant 1400 Hwy 71, International Falls, MN 56649 – 2189

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Rainy Lake Medical Center) 2009-07-01

Related by officers

No related officers

Related by address

1400 Hwy 71, International Falls, MN 56649–2189, USA

International Falls Memorial Hospital Association NorthWoods Hearing Services

Date of last update: 22 Dec 2024

Sources: Minnesota's Official State Website

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