| Name: | Grand Avenue Rest Home, LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 25 Feb 2022 (3 years ago) |
| Company Number: | 6a366563-7c96-ec11-91b8-00155d32b93a |
| File Number: | 1299193800067 |
| Registered Office Address: | 3956 Grand Avenue, Minneapolis, MN 55409, USA |
| Principal Executive Office Address: | 15600 Wayzata Boulevard, Suite 208, Wayzata, MN 55391, US |
| ZIP code: | 55409 |
| County: | Hennepin County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRAND AVENUE REST HOME INC 401(K) PROFIT SHARING PLAN & TRUST | 2009 | 410955446 | 2010-07-25 | GRAND AVENUE REST HOME | 10 | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 410955446 |
| Plan administrator’s name | GRAND AVENUE REST HOME |
| Plan administrator’s address | 3956 GRAND AVE SO, MINNEAPOLIS, MN, 55409 |
| Administrator’s telephone number | 6128241434 |
Number of participants as of the end of the plan year
| Active participants | 9 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 2 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 3 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-07-25 |
| Name of individual signing | ALLEN SODERBECK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 623200 |
| Sponsor’s telephone number | 6128241434 |
| Plan sponsor’s DBA name | GRAND AVENUE RESIDENCE |
| Plan sponsor’s mailing address | 3956 GRAND AVE SO, MINNEAPOLIS, MN, 55409 |
| Plan sponsor’s address | 3956 GRAND AVE SO, MINNEAPOLIS, MN, 55409 |
Plan administrator’s name and address
| Administrator’s EIN | 410955446 |
| Plan administrator’s name | GRAND AVENUE REST HOME |
| Plan administrator’s address | 3956 GRAND AVE SO, MINNEAPOLIS, MN, 55409 |
| Administrator’s telephone number | 6128241434 |
Number of participants as of the end of the plan year
| Active participants | 8 |
| Other retired or separated participants entitled to future benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 2 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-25 |
| Name of individual signing | ALLEN SODERBECK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Stephen J Kaminski | Manager | 15600 Wayzata Boulevard, Suite 208, Wayzata, MN 55391, USA |
| Filing Name | Filing date |
|---|---|
| Original Filing - Limited Liability Company (Domestic) (Business Name: Grand Avenue Rest Home, LLC) | 2022-02-25 |
Date of last update: 29 Dec 2024
Sources: Minnesota's Official State Website
