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  5. LAKES REGION EMS, INC.

LAKES REGION EMS, INC.

Company Details

Name: LAKES REGION EMS, INC.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 23 Feb 1970 (55 years ago)
Company Number: 762eafed-a5d4-e011-a886-001ec94ffe7f
File Number: I-203
Registered Office Address: 40245 Fletcher Ave, 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
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2023 237146628 2024-05-14 LAKES REGION EMS 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address 40245 FLETCHER AVE, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing CASSANDRA KEOCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-14
Name of individual signing CASSANDRA KEOCHER
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2022 237146628 2023-03-28 LAKES REGION EMS 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address 40245 FLETCHER AVE, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2023-03-28
Name of individual signing CASSANDRA KEOCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-28
Name of individual signing CASSANDRA KEOCHER
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2021 237146628 2022-08-31 LAKES REGION EMS 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address 40245 FLETCHER AVE, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2022-08-30
Name of individual signing CASSIE KEOCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-30
Name of individual signing CASSIE KEOCHER
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2020 237146628 2021-06-07 LAKES REGION EMS 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address P.O. BOX 266, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing MS. CASSANDRA KEOCHER
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2019 237146628 2020-07-10 LAKES REGION EMS 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address P.O. BOX 266, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2020-07-10
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-10
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2018 237146628 2019-06-06 LAKES REGION EMS 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address P.O. BOX 266, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-05
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2017 237146628 2018-04-06 LAKES REGION EMS 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address P.O. BOX 266, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2018-04-06
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-06
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2016 237146628 2017-05-08 LAKES REGION EMS 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address P.O. BOX 266, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-08
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2015 237146628 2016-05-23 LAKES REGION EMS 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address P.O. BOX 266, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-23
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
LAKES REGION EMS RETIREMENT SAVINGS PLAN 2014 237146628 2015-05-02 LAKES REGION EMS 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-08-01
Business code 624200
Sponsor’s telephone number 6512774911
Plan sponsor’s address P.O. BOX 266, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2015-05-01
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-01
Name of individual signing TODD FISK
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Keith Carlson President PO BOX 838, LINDSTROM, MN 55045–0838, USA

Agent

Name Role
Michelle Anderson Agent

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2014-09-16
Annual Reinstatement - Nonprofit Corporation (Domestic) 2008-02-21
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2008-01-23
Nonprofit Corporation (Domestic) Business Name (Business Name: LAKES REGION EMS, INC.) 2000-04-07
Nonprofit Corporation (Domestic) Restated Articles 2000-04-07
Nonprofit Corporation (Domestic) Business Name (Business Name: Lakes Region EMS, Inc.) 1997-08-26
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-02-27
Amendment - Nonprofit Corporation (Domestic) 1972-07-17
Original Filing - Nonprofit Corporation (Domestic) 1970-02-23
Nonprofit Corporation (Domestic) Business Name (Business Name: Chisago Lakes Rescue Service, Inc.) 1970-02-23

Related by officers

Keith Carlson

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Michelle Anderson

Boomerang Baubles L. L. C. DC Gymnastics Booster Club Little Curly Pig Farm, LLC Minnesota Academy of Nutrition and Dietetics River Oaks of Champlin Association R.Marc Inc. Fife LLC DE EAGLES JO VOLLEYBALL

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40245 Fletcher Ave, North Branch, MN 55056, USA

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Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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