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  5. Provide Care, Inc.

Provide Care, Inc.

Company Details

Name: Provide Care, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 10 Feb 1993 (32 years ago)
Company Number: 7600373a-b5d4-e011-a886-001ec94ffe7f
File Number: 7S-1
Registered Office Address: 5842 Old Main Str PO Box 416, North Branch, MN 55056, USA
Principal Executive Office Address: 4722 Isanti Trail PO Box 538, North Branch, MN 55056, USA
ZIP code: 55056
County: Chisago County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVIDE CARE, INCORPORATED 401(K) P/S PLAN 2023 411739965 2024-06-26 PROVIDE CARE, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 6516748312
Plan sponsor’s address 4722 ISANTI TRL, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing SUSAN K ROD
Valid signature Filed with authorized/valid electronic signature
PROVIDE CARE, INCORPORATED 401(K) P/S PLAN 2022 411739965 2023-06-22 PROVIDE CARE, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6516748312
Plan sponsor’s address 4722 ISANTI TRL, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056

Plan administrator’s name and address
Administrator’s EIN 411739965
Plan administrator’s name PROVIDE CARE, INC.
Plan administrator’s address 4722 ISANTI TRL, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056
Administrator’s telephone number 6516748312

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing SUE ROD
Valid signature Filed with authorized/valid electronic signature
PROVIDE CARE, INCORPORATED 401(K) P/S PLAN 2021 411739965 2022-06-02 PROVIDE CARE, INC. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6516748312
Plan sponsor’s address 4722 ISANTI TRL, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056

Plan administrator’s name and address
Administrator’s EIN 411739965
Plan administrator’s name PROVIDE CARE, INC.
Plan administrator’s address 4722 ISANTI TRL, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056
Administrator’s telephone number 6516748312

Signature of
Role Plan administrator
Date 2022-06-02
Name of individual signing SUE ROD
Valid signature Filed with authorized/valid electronic signature
PROVIDE CARE, INCORPORATED 401(K) P/S PLAN 2020 411739965 2021-07-19 PROVIDE CARE, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6516748312
Plan sponsor’s address 4722 ISANTI TRL, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056

Plan administrator’s name and address
Administrator’s EIN 411739965
Plan administrator’s name PROVIDE CARE, INC.
Plan administrator’s address 4722 ISANTI TRL, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056
Administrator’s telephone number 6516748312

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing SUE ROD
Valid signature Filed with authorized/valid electronic signature
PROVIDE CARE, INCORPORATED 401(K) P/S PLAN 2019 411739965 2020-06-11 PROVIDE CARE, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6516748312
Plan sponsor’s address PO BOX 538, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056

Plan administrator’s name and address
Administrator’s EIN 411739965
Plan administrator’s name PROVIDE CARE, INC.
Plan administrator’s address PO BOX 538, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056
Administrator’s telephone number 6516748312

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing SUE ROD
Valid signature Filed with authorized/valid electronic signature
PROVIDE CARE, INCORPORATED 401(K) P/S PLAN 2018 411739965 2019-04-01 PROVIDE CARE, INC. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6516748312
Plan sponsor’s address PO BOX 538, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056

Plan administrator’s name and address
Administrator’s EIN 411739965
Plan administrator’s name PROVIDE CARE, INC.
Plan administrator’s address PO BOX 538, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056
Administrator’s telephone number 6516748312

Signature of
Role Plan administrator
Date 2019-04-01
Name of individual signing SUE ROD
Valid signature Filed with authorized/valid electronic signature
PROVIDE CARE, INCORPORATED 401(K) P/S PLAN 2017 411739965 2018-04-05 PROVIDE CARE, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 6516748312
Plan sponsor’s address PO BOX 538, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056

Plan administrator’s name and address
Administrator’s EIN 411739965
Plan administrator’s name PROVIDE CARE, INC.
Plan administrator’s address PO BOX 538, 4722 ISANTI TRAIL, NORTH BRANCH, MN, 55056
Administrator’s telephone number 6516748312

Signature of
Role Plan administrator
Date 2018-04-05
Name of individual signing SUSAN ROD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Colleen Rod Chief Executive Officer PO BOX 538, NORTH BRANCH, MN 55056–0538, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1995-08-24
Original Filing - Business Corporation (Domestic) 1993-02-10
Business Corporation (Domestic) Business Name (Business Name: Provide Care, Inc.) 1993-02-10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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