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Home Care Senior Services, Inc.

Company Details

Name: Home Care Senior Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 01 Mar 2010 (15 years ago)
Company Number: 909f1b53-95d4-e011-a886-001ec94ffe7f
File Number: 3731134-2
Registered Office Address: 2607 White Bear Ave, Maplewood, MN 55109, USA
Principal Executive Office Address: 6060 OXBORO AVE N, OAK PARK HEIGHTS, MN 55082–6123, USA
ZIP code: 55109
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOME CARE SENIOR SERVICES 401(K) PLAN 2023 272041025 2024-07-01 HOME CARE SENIOR SERVICES, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6127474237
Plan sponsor’s address 5353 GAMBLE DR SUITE 300, MINNEAPOLIS, MN, 55416

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing PETE MANSHIP
Valid signature Filed with authorized/valid electronic signature
HOME CARE SENIOR SERVICES 401(K) PLAN 2022 272041025 2023-10-04 HOME CARE SENIOR SERVICES, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6127474237
Plan sponsor’s address 5353 GAMBLE DR SUITE 300, MINNEAPOLIS, MN, 55416

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing PETE MANSHIP
Valid signature Filed with authorized/valid electronic signature
HOME CARE SENIOR SERVICES 401(K) PLAN 2021 272041025 2022-09-29 HOME CARE SENIOR SERVICES, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6127474237
Plan sponsor’s address 5353 GAMBLE DR, MINNEAPOLIS, MN, 55416

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing PETE MANSHIP
Valid signature Filed with authorized/valid electronic signature
HOME CARE SENIOR SERVICES 401(K) PLAN 2020 272041025 2021-10-13 HOME CARE SENIOR SERVICES, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6517708505
Plan sponsor’s address 2607 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing DAVID HESLEY
Valid signature Filed with authorized/valid electronic signature
HOME CARE SENIOR SERVICES 401(K) PLAN 2019 272041025 2020-07-29 HOME CARE SENIOR SERVICES, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6517708505
Plan sponsor’s address 2607 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing DAVID HESLEY
Valid signature Filed with authorized/valid electronic signature
HOME CARE SENIOR SERVICES 401(K) PLAN 2018 272041025 2019-08-27 HOME CARE SENIOR SERVICES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6517708505
Plan sponsor’s address 2607 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of

Role Plan administrator
Date 2019-08-27
Name of individual signing DAVID HESLEY
Valid signature Filed with authorized/valid electronic signature
HOME CARE SENIOR SERVICES 401(K) PLAN 2017 272041025 2018-07-30 HOME CARE SENIOR SERVICES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6517708505
Plan sponsor’s address 2607 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing DAVID HESLEY
Valid signature Filed with authorized/valid electronic signature
HOME CARE SENIOR SERVICES 401(K) PLAN 2016 272041025 2017-08-15 HOME CARE SENIOR SERVICES, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 6517708505
Plan sponsor’s address 2607 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of

Role Plan administrator
Date 2017-08-15
Name of individual signing KENNY SHOQUIST
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
David H Hesley Chief Executive Officer 6060 OXBORO AVE N, OAK PARK HEIGHTS, MN 55082–6123, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2013-05-21
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Original Filing - Business Corporation (Domestic) (Business Name: Home Care Senior Services, Inc.) 2010-03-01

Date of last update: 13 Jan 2025

Sources: Minnesota's Official State Website