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FARMINGTON HEALTH SERVICES

Company Details

Name: FARMINGTON HEALTH SERVICES
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 26 Jun 2003 (22 years ago)
Company Number: 8a118497-86d4-e011-a886-001ec94ffe7f
File Number: 547604-2
Registered Office Address: 905 Elm Street, Farmington, MN 55024, USA
ZIP code: 55024
County: Dakota County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F664ANLE9TF9 2025-02-27 3410 213TH ST W, FARMINGTON, MN, 55024, 1167, USA 905 ELM STREET, FARMINGTON, MN, 55024, USA

Business Information

URL www.sfhs.org
Division Name FARMINGTON HEALTH SERVICES
Division Number 6514637818
Congressional District 02
State/Country of Incorporation MN, USA
Activation Date 2024-03-01
Initial Registration Date 2013-08-13
Entity Start Date 2003-09-01
Fiscal Year End Close Date Jun 30

Service Classifications

NAICS Codes 623110
Product and Service Codes Q402

Points of Contacts

Electronic Business
Title PRIMARY POC
Name LYNETTE SCHLOSSER
Role ACCOUNTANT
Address 905 ELM STREET, FARMINGTON, MN, 55024, USA
Government Business
Title PRIMARY POC
Name KARRIE S TIPLER
Role ADMINISTRATOR
Address 905 ELM STREET, HASTINGS, MN, 55033, USA
Past Performance Information not Available

President

Name Role Address
Cami Peterson-DeVries President 801 NEVADA AVE, MORRIS, MN 56267–1865, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2023-02-24
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2023-01-25
Amendment - Nonprofit Corporation (Domestic) 2018-12-20
Original Filing - Nonprofit Corporation (Domestic) (Business Name: FARMINGTON HEALTH SERVICES) 2003-06-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
20-0100365 Corporation Unconditional Exemption 905 ELM ST, FARMINGTON, MN, 55024-1188 2003-12
In Care of Name % MARI CHAMBERS
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 20473304
Income Amount 13418744
Form 990 Revenue Amount 13202799
National Taxonomy of Exempt Entities Health Care: Community Health Systems
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 201909
Filing Type P
Return Type 990
File View File
Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name FARMINGTON HEALTH SERVICES
EIN 20-0100365
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8118688803 2021-04-22 0508 PPP 3410 213th St W, Farmington, MN, 55024-1167
Loan Status Date 2021-12-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1476430
Loan Approval Amount (current) 1476430
Undisbursed Amount 0
Franchise Name -
Lender Location ID 38908
Servicing Lender Name Bremer Bank, National Association
Servicing Lender Address 372 St. Peter St, SAINT PAUL, MN, 55102-1302
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Farmington, DAKOTA, MN, 55024-1167
Project Congressional District MN-02
Number of Employees 179
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 38908
Originating Lender Name Bremer Bank, National Association
Originating Lender Address SAINT PAUL, MN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1485005.43
Forgiveness Paid Date 2021-11-26

Date of last update: 24 Jan 2025

Sources: Minnesota's Official State Website