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Assurecare Risk Management, Inc.

Branch

Company Details

Name: Assurecare Risk Management, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Foreign)
Status: Inactive
Date formed: 08 Oct 2010 (14 years ago)
Branch of: Assurecare Risk Management, Inc., Florida (Company Number P09000041421)
Company Number: 57dfdc9b-96d4-e011-a886-001ec94ffe7f
File Number: 4013730-2
Registered Office Address: 13700 Watertower Circle #D, Plymouth, MN 55441, USA
ZIP code: 55441
County: Hennepin County
Place of Formation: Florida

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSURECARE RISK MANAGEMENT INC. 2023 270158924 2024-10-14 ASSURECARE RISK MANAGEMENT INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-06-01
Business code 524290
Sponsor’s telephone number 6129873360
Plan sponsor’s address 13700 WATERTOWER CIRCLE, SUITE D, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing CASSANDRA AGAR
Valid signature Filed with authorized/valid electronic signature
ASSURECARE RISK MANAGEMENT INC. 2015 270158924 2016-10-12 ASSURECARE RISK MANAGEMENT INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-06-01
Business code 524290
Sponsor’s telephone number 6129873360
Plan sponsor’s address 13700 WATERTOWER CIRCLE, SUITE D, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing CASSANDRA AGAR
Valid signature Filed with authorized/valid electronic signature
ASSURECARE RISK MANAGEMENT INC. 2014 270158924 2015-10-14 ASSURECARE RISK MANAGEMENT INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-06-01
Business code 524290
Sponsor’s telephone number 6129873360
Plan sponsor’s address 13700 WATERTOWER CIRCLE, SUITE D, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing CASSANDRA AGAR
Valid signature Filed with authorized/valid electronic signature
ASSURECARE RISK MANAGEMENT INC. 2013 270158924 2014-07-31 ASSURECARE RISK MANAGEMENT INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-06-01
Business code 524290
Sponsor’s telephone number 6129873360
Plan sponsor’s address 13700 WATERTOWER CIRCLE, SUITE D, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing CASSANDRA AGAR
Valid signature Filed with authorized/valid electronic signature
ASSURECARE RISK MANAGEMENT, INC 401(K) PLAN 2012 270158924 2013-12-06 ASSURECARE RISK MANAGEMENT, INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-06-01
Business code 524290
Sponsor’s telephone number 6129873360
Plan sponsor’s address 13700 WATERTOWER CIRCLE, SUITE D, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2013-12-06
Name of individual signing CASSANDRA AGAR
Valid signature Filed with authorized/valid electronic signature
ASSURECARE RISK MANAGEMENT, INC 2011 270158924 2013-12-06 ASSURECARE RISK MANAGEMENT, INC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-06-01
Business code 524290
Sponsor’s telephone number 6129873360
Plan sponsor’s address 13700 WATERTOWER CIRCLE, SUITE D, PLYMOUTH, MN, 55441

Plan administrator’s name and address

Administrator’s EIN 270158924
Plan administrator’s name ASSURECARE RISK MANAGEMENT, INC
Plan administrator’s address 13700 WATERTOWER CIRCLE, SUITE D, PLYMOUTH, MN, 55441
Administrator’s telephone number 6129873360

Signature of

Role Plan administrator
Date 2013-12-06
Name of individual signing CASSANDRA AGAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
Richard J Agar Agent

Filing

Filing Name Filing date
Withdrawal - Business Corporation (Foreign) 2012-06-14
Original Filing - Business Corporation (Foreign) (Business Name: Assurecare Risk Management, Inc.) 2010-10-08

Date of last update: 24 Dec 2024

Sources: Minnesota's Official State Website