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  5. SUPPORTIVE LIFESTYLES, INC.

SUPPORTIVE LIFESTYLES, INC.

Company Details

Name: SUPPORTIVE LIFESTYLES, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 05 Jan 1994 (31 years ago)
Company Number: 82bca04a-a3d4-e011-a886-001ec94ffe7f
File Number: 8B-822
Registered Office Address: 1001 - 9TH STREET SE, WILLMAR, MN 56201, USA
Principal Executive Office Address: 15 - 2nd Ave SW, New London, MN 56273, USA
ZIP code: 56201
County: Kandiyohi County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUPPORTIVE LIFESTYLES RETIREMENT PLAN 2023 411777803 2024-07-16 SUPPORTIVE LIFESTYLES, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address 1001 9TH ST SE, WILMAR, MN, 56201

Signature of
Role Plan administrator
Date 2024-07-16
Name of individual signing BETH PEDERSON
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES RETIREMENT PLAN 2022 411777803 2023-06-28 SUPPORTIVE LIFESTYLES, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address 1001 9TH ST SE, WILMAR, MN, 56201

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES RETIREMENT PLAN 2021 411777803 2022-09-07 SUPPORTIVE LIFESTYLES, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address 1001 9TH ST SE, WILMAR, MN, 56201

Signature of
Role Plan administrator
Date 2022-09-07
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES RETIREMENT PLAN 2020 411777803 2021-10-08 SUPPORTIVE LIFESTYLES, INC. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address 19 - 2ND AVE SW, NEW LONDON, MN, 56273

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES, INC. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2019 411777803 2020-10-13 SUPPORTIVE LIFESTYLES, INC 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address PO BOX 738, NEW LONDON, MN, 56273

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing NIKKI BRADFORD
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES, INC. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2018 411777803 2019-09-04 SUPPORTIVE LIFESTYLES, INC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address PO BOX 738, NEW LONDON, MN, 56273

Signature of
Role Plan administrator
Date 2019-09-04
Name of individual signing NIKKI BRADFORD
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES, INC. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2017 411777803 2018-06-18 SUPPORTIVE LIFESTYLES, INC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address PO BOX 738, NEW LONDON, MN, 56273

Signature of
Role Plan administrator
Date 2018-06-18
Name of individual signing NICOLE BRADFORD
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES, INC. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2016 411777803 2017-10-16 SUPPORTIVE LIFESTYLES, INC 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address PO BOX 738, NEW LONDON, MN, 56273

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing NICOLE BRADFORD
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES, INC. SAFE HARBOR 401K PROFIT SHARING PLAN 2015 411777803 2016-07-27 SUPPORTIVE LIFESTYLES, INC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3202202445
Plan sponsor’s address PO BOX 738, 15 2ND AVE. SW, NEW LONDON, MN, 56273

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing NICOLE BRADFORD
Valid signature Filed with authorized/valid electronic signature
SUPPORTIVE LIFESTYLES, INC. SAFE HARBOR 401K PROFIT SHARING PLAN 2014 411777803 2015-07-21 SUPPORTIVE LIFESTYLES, INC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 623000
Sponsor’s telephone number 3207965900
Plan sponsor’s address PO BOX 487, 5465 132ND AVE NE, SPICER, MN, 56288

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing NICOLE BRADFORD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Bethany Pederson Chief Executive Officer 19 - 2nd Ave SW, New London, MN 56273, USA

Agent

Name Role
Bethany Pederson Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2015-01-21
Registered Office and/or Agent - Business Corporation (Domestic) 1996-09-13
Original Filing - Business Corporation (Domestic) 1994-01-05
Business Corporation (Domestic) Business Name (Business Name: SUPPORTIVE LIFESTYLES, INC.) 1994-01-05

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Nov 2024

Sources: Minnesota's Official State Website

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