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  5. Cook Area Health Services, Inc.

Cook Area Health Services, Inc.

Company Details

Name: Cook Area Health Services, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 08 Mar 1979 (46 years ago)
Company Number: 8d59c74e-aed4-e011-a886-001ec94ffe7f
File Number: R-205
Registered Office Address: 20 5th Str SE, Cook, MN 55723–9702, USA
ZIP code: 55723
County: St. Louis County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EKUQPUA82FY4 2024-09-10 20 5TH ST SE, COOK, MN, 55723, 9702, USA 20 5TH ST SE, COOK, MN, 55723, 9702, USA

Business Information
Doing Business As SCENIC RIVERS HEALTH SERVICES
Congressional District 08
State/Country of Incorporation MN, USA
Activation Date 2023-09-13
Initial Registration Date 2006-01-11
Entity Start Date 1979-05-01
Fiscal Year End Close Date May 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KEITH D HARVEY
Role CEO
Address 20 5TH ST SE, COOK, MN, 55723, 9702, USA
Title ALTERNATE POC
Name KEITH D HARVEY
Role CEO
Address 20 5TH ST SE, COOK, MN, 55723, 9702, USA
Government Business
Title PRIMARY POC
Name KEITH D HARVEY
Role CEO
Address 20 5TH ST SE, COOK, MN, 55723, 9702, USA
Title ALTERNATE POC
Name MICHAEL A HOLMES
Role SENIOR ADVISOR
Address 20 5TH ST SE, COOK, MN, 55723, 9702, USA
Past Performance
Title PRIMARY POC
Name KEITH D HARVEY
Role CEO
Address 20 5TH ST SE, COOK, MN, 55723, 9702, USA
Title ALTERNATE POC
Name KEITH D HARVEY
Role CEO
Address 20 5TH ST SE, COOK, MN, 55723, 9702, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COOK AREA HEALTH SERVICES, INC. TAX SHELTERED ANNUITY PLAN 2013 411344385 2014-12-23 COOK AREA HEALTH SERVICES,INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-06-01
Business code 621498
Sponsor’s telephone number 2186665102
Plan sponsor’s address 20 5TH STREET SE, COOK, MN, 557239702

Signature of
Role Plan administrator
Date 2014-12-23
Name of individual signing MICHAEL HOLMES
Valid signature Filed with authorized/valid electronic signature
COOK AREA HEALTH SERVICES, INC. TAX SHELTERED ANNUITY PLAN 2012 411344385 2014-03-12 COOK AREA HEALTH SERVICES, INC. 103
Three-digit plan number (PN) 001
Effective date of plan 1989-06-01
Business code 621498
Sponsor’s telephone number 2186665102
Plan sponsor’s address 20 SOUTH 5TH STREET EAST, COOK, MN, 557239702

Signature of
Role Plan administrator
Date 2014-03-12
Name of individual signing MYRNA G MALM
Valid signature Filed with authorized/valid electronic signature
COOK AREA HEALTH SERVICES, INC. TAX SHELTERED ANNUITY PLAN 2012 411344385 2014-03-17 COOK AREA HEALTH SERVICES, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-06-01
Business code 621498
Sponsor’s telephone number 2186665102
Plan sponsor’s address 20 SOUTH 5TH STREET EAST, COOK, MN, 557239702

Signature of
Role Plan administrator
Date 2014-03-17
Name of individual signing MYRNA G MALM
Valid signature Filed with authorized/valid electronic signature
COOK AREA HEALTH SERVICES, INC. TAX SHELTERED ANNUITY PLAN 2011 411344385 2013-03-15 COOK AREA HEALTH SERVICES, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-06-01
Business code 621498
Sponsor’s telephone number 2186665102
Plan sponsor’s address 20 SOUTH 5TH STREET EAST, COOK, MN, 55723

Plan administrator’s name and address
Administrator’s EIN 411344385
Plan administrator’s name COOK AREA HEALTH SERVICES, INC.
Plan administrator’s address 20 SOUTH 5TH STREET EAST, COOK, MN, 55723
Administrator’s telephone number 2186665102

Signature of
Role Plan administrator
Date 2013-03-15
Name of individual signing MYRNA G MALM
Valid signature Filed with authorized/valid electronic signature
COOK AREA HEALTH SERVICES, INC. TAX SHELTERED ANNUITY PLAN 2009 411344385 2011-02-23 COOK AREA HEALTH SERVICES, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-06-01
Business code 621498
Sponsor’s telephone number 2186665102
Plan sponsor’s DBA name SCENIC RIVERS HEALTH SERVICES
Plan sponsor’s address 20 5TH STREET SE, COOK, MN, 55723

Plan administrator’s name and address
Administrator’s EIN 411344385
Plan administrator’s name COOK AREA HEALTH SERVICES, INC.
Plan administrator’s address 20 5TH STREET SE, COOK, MN, 55723
Administrator’s telephone number 2186665102

Signature of
Role Plan administrator
Date 2011-02-23
Name of individual signing MYRNA G MALM
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
William H Tibbetts President Cook Area Health Services, Inc., 20 5th Street SE, COOK, MN 55723–9702, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2016-05-10
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2016-03-10
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1996-06-10
Amendment - Nonprofit Corporation (Domestic) 1979-09-26
Original Filing - Nonprofit Corporation (Domestic) 1979-03-08
Nonprofit Corporation (Domestic) Business Name (Business Name: Cook Area Health Services, Inc.) 1979-03-08

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 14 Dec 2024

Sources: Minnesota's Official State Website

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