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Samaritan Bethany, Inc.

Company Details

Name: Samaritan Bethany, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 Jan 1980 (45 years ago)
Company Number: 7e63e42f-a2d4-e011-a886-001ec94ffe7f
File Number: S-157
Registered Office Address: 101 7th Str NW, Rochester, MN 55901, USA
ZIP code: 55901
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2023 411373420 2024-07-18 SAMARITAN BETHANY, INC. 104
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 102
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2024-07-18
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2022 411373420 2023-06-29 SAMARITAN BETHANY, INC. 127
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 98
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2023-06-29
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2021 411373420 2022-06-13 SAMARITAN BETHANY, INC. 174
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 132
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-06-13
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2020 411373420 2021-06-07 SAMARITAN BETHANY, INC. 158
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 150
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2021-06-07
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2019 411373420 2020-06-23 SAMARITAN BETHANY, INC. 179
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 156
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2020-06-23
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2018 411373420 2019-07-09 SAMARITAN BETHANY, INC. 160
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 177
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-09
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2017 411373420 2018-07-24 SAMARITAN BETHANY, INC. 158
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 154
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-07-24
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2016 411373420 2017-07-19 SAMARITAN BETHANY, INC. 174
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 143
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-19
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE LIFE PLAN 2015 411373420 2016-07-19 SAMARITAN BETHANY, INC. 166
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 172
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-07-19
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature
SAMARITAN BETHANY, INC. EMPLOYEE WELFARE BENEFIT PLAN 2014 411373420 2015-06-26 SAMARITAN BETHANY, INC. 195
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1982-08-01
Business code 623000
Sponsor’s telephone number 5072895042
Plan sponsor’s mailing address 101 7TH STREET NW, ROCHESTER, MN, 559035947
Plan sponsor’s address P.O. BOX 5947, ROCHESTER, MN, 559035947

Number of participants as of the end of the plan year

Active participants 169
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing BRANDON MILLER
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Kyla Berg President 101 7TH ST NW, ROCHESTER, MN 55901–6839, USA

Filing

Filing Name Filing date
Amendment - Nonprofit Corporation (Domestic) 2009-12-14
Nonprofit Corporation (Domestic) Business Name (Business Name: Samaritan Bethany, Inc.) 1991-05-21
Merger - Nonprofit Corporation (Domestic) 1991-05-10
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-05-11
Original Filing - Nonprofit Corporation (Domestic) 1980-01-14
Nonprofit Corporation (Domestic) Business Name (Business Name: Bethany Samaritan, Inc.) 1980-01-14

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website