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  5. Perham Area Community Center

Perham Area Community Center

Company Details

Name: Perham Area Community Center
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 23 Dec 2022 (2 years ago)
Company Number: 8c35ae4a-eb82-ed11-9066-00155d01c614
File Number: 1359340800021
Principal Place of Business Address: 620 3rd Ave SE, Perham, MN 56573, United States
ZIP code: 56573
County: Otter Tail County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2019 411565457 2021-12-16 PERHAM AREA COMMUNITY CENTER 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 531120
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2021-12-16
Name of individual signing LEIGH SHEBECK
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2018 411565457 2019-10-14 PERHAM AREA COMMUNITY CENTER 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 531120
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing LEIGH SHEBECK
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2017 411565457 2018-07-16 PERHAM AREA COMMUNITY CENTER 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing ELIZABETH MURPHY
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2016 411565457 2017-06-08 PERHAM AREA COMMUNITY CENTER 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing KEVIN NELSON
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2015 411565457 2016-06-01 PERHAM AREA COMMUNITY CENTER 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2016-06-01
Name of individual signing KEVIN NELSON
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2014 411565457 2015-08-10 PERHAM AREA COMMUNITY CENTER 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2015-08-10
Name of individual signing KEVIN NELSON
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2013 411565457 2014-07-30 PERHAM AREA COMMUNITY CENTER 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing KEVIN NELSON
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2012 411565457 2013-07-29 PERHAM AREA COMMUNITY CENTER 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing KEVIN NELSON
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2011 411565457 2012-07-23 PERHAM AREA COMMUNITY CENTER 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Plan administrator’s name and address
Administrator’s EIN 411565457
Plan administrator’s name PERHAM AREA COMMUNITY CENTER
Plan administrator’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744
Administrator’s telephone number 2183467222

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing KEVIN NELSON
Valid signature Filed with authorized/valid electronic signature
PERHAM AREA COMMUNITY CENTER 403(B) EMPLOYER CONTRIBUTORY ANNUITY PLAN 2010 411565457 2011-07-27 PERHAM AREA COMMUNITY CENTER 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 713900
Sponsor’s telephone number 2183467222
Plan sponsor’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744

Plan administrator’s name and address
Administrator’s EIN 411565457
Plan administrator’s name PERHAM AREA COMMUNITY CENTER
Plan administrator’s address 620 3RD AVENUE S.E., PERHAM, MN, 565731744
Administrator’s telephone number 2183467222

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing KEVIN NELSON
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Perham Area Activity Center, Inc. Aplicant 620 3rd Ave SE, Perham, MN 56573

Filing

Filing Name Filing date
Administrative Expiration - Assumed Name 2024-02-26
Original Filing - Assumed Name (Business Name: Perham Area Community Center) 2022-12-23

Related by officers

Perham Area Activity Center, Inc.

PACC

Related by address

620 3rd Ave SE, Perham, MN 56573, United States

PACC

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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