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  5. Providers Choice, Inc.

Providers Choice, Inc.

Company Details

Name: Providers Choice, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 Dec 1984 (40 years ago)
Company Number: 6cf54d52-b8d4-e011-a886-001ec94ffe7f
File Number: Y-97
Registered Office Address: 10901 Red Circ Drv #100, Mtka, MN 55343–5534, USA
ZIP code: 55343
County: Hennepin County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LZQHF7VFB2X5 2025-01-16 7301 OHMS LN, STE 210, MINNEAPOLIS, MN, 55439, 2335, USA 7301 OHMS LANE, STE 210, MINNEAPOLIS, MN, 55439, USA

Business Information
URL WWW.PROVIDERSCHOICE.COM
Division Name PROVIDERS CHOICE INC
Division Number PROVIDERS
Congressional District 03
State/Country of Incorporation MN, USA
Activation Date 2024-01-19
Initial Registration Date 2020-12-18
Entity Start Date 1985-04-01
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MICHELLE TRIPLETT
Address 7301 OHMS LANE, STE 210, MINNEAPOLIS, MN, 55439, USA
Government Business
Title PRIMARY POC
Name MICHELLE TRIPLETT
Role DIRECTOR OF BUSINESS OPERATIONS
Address 7301 OHMS LANE, STE 210, MINNEAPOLIS, MN, 55439, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVIDERS CHOICE, INC. TAX DEFERRED ANNUITY PLAN 2023 363347057 2024-08-29 PROVIDERS CHOICE, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 7301 OHMS LANE, SUITE 210, MINNEAPOLIS, MN, 55439

Signature of
Role Plan administrator
Date 2024-08-29
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-29
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. TAX DEFERRED ANNUITY PLAN 2022 363347057 2023-10-13 PROVIDERS CHOICE, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 7301 OHMS LANE, SUITE 210, MINNEAPOLIS, MN, 55439

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. TAX DEFERRED ANNUITY PLAN 2021 363347057 2022-10-03 PROVIDERS CHOICE, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 7301 OHMS LANE, SUITE 210, MINNEAPOLIS, MN, 55439

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-03
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. TAX DEFERRED ANNUITY PLAN 2020 363347057 2021-04-07 PROVIDERS CHOICE, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 10901 RED CIRCLE DRIVE, SUITE 100, MINNETONKA, MN, 55343

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-07
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. 2019 363347057 2020-06-09 PROVIDERS CHOICE, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 10901 RED CIRCLE DRIVE, SUITE 100, MINNETONKA, MN, 55343

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing MICHELLE R TRIPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-08
Name of individual signing MICHELLE R TRIPLETT
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. 2018 363347057 2019-10-11 PROVIDERS CHOICE, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 10901 RED CIRCLE DRIVE, SUITE 100, MINNETONKA, MN, 55343

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing MICHELLE TRIPLETT
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. 2017 363347057 2018-10-10 PROVIDERS CHOICE, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 10901 RED CIRCLE DRIVE, SUITE 100, MINNETONKA, MN, 55343

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing LINDA LEACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing LINDA LEACH
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. 2016 363347057 2017-10-11 PROVIDERS CHOICE, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 10901 RED CIRCLE DRIVE, SUITE 100, MINNETONKA, MN, 55343

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing LINDA LEACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing LINDA LEACH
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. 2015 363347057 2016-10-13 PROVIDERS CHOICE, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 10901 RED CIRCLE DRIVE, SUITE 100, MINNETONKA, MN, 55343

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing GAIL BIRCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing GAIL BIRCH
Valid signature Filed with authorized/valid electronic signature
PROVIDERS CHOICE, INC. 2014 363347057 2015-08-05 PROVIDERS CHOICE, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 624410
Sponsor’s telephone number 9523458109
Plan sponsor’s address 10901 RED CIRCLE DRIVE, SUITE 100, MINNETONKA, MN, 55343

Signature of
Role Plan administrator
Date 2015-08-05
Name of individual signing CAROLYN MORAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-05
Name of individual signing CAROLYN MORAIN
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Kathleen Abernathy President 7301 Ohms Lane, Suite 210, Minneapolis, MN 55439, USA

Agent

Name Role
Daniel Narr Agent

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2008-02-21
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2005-09-20
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1991-04-01
Original Filing - Nonprofit Corporation (Domestic) 1984-12-14
Nonprofit Corporation (Domestic) Business Name (Business Name: Providers Choice, Inc.) 1984-12-14

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 09 Dec 2024

Sources: Minnesota's Official State Website

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