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  5. Hiawatha Valley Mental Health Center

Hiawatha Valley Mental Health Center

Company Details

Name: Hiawatha Valley Mental Health Center
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 05 May 1965 (60 years ago)
Company Number: 9738fd6f-b5d4-e011-a886-001ec94ffe7f
File Number: F-500
Registered Office Address: 420 East Sarnia Street, Winona, MN 55987, USA
ZIP code: 55987
County: Winona County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FAA9JESXZVM1 2024-07-10 420 E SARNIA ST, STE 1200, WINONA, MN, 55987, 6417, USA 420 E SARNIA ST, STE 2100, WINONA, MN, 55987, 3405, USA

Business Information
URL http://www.hvmhc.org
Congressional District 01
State/Country of Incorporation MN, USA
Activation Date 2023-07-13
Initial Registration Date 2012-06-05
Entity Start Date 1965-02-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621112, 621330, 621420, 623220

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KIMBERLY A KOLSTAD
Role FINANCE DIRECTOR
Address 420 E SARNIA ST, STE 2100, WINONA, MN, 55987, USA
Title ALTERNATE POC
Name KIMBERLY A KOLSTAD
Role FINANCE DIRECTOR
Address 166 MAIN ST., WINONA, MN, 55987, USA
Government Business
Title PRIMARY POC
Name ERIK F SIEVERS
Role EXECUTIVE DIRECTOR
Address 420 E SARNIA ST, STE 2100, WINONA, MN, 55987, USA
Title ALTERNATE POC
Name ERIK F SIEVERS
Role EXECUTIVE DIRECTOR
Address 420 E SARNIA ST, STE 2100, WINONA, MN, 55987, USA
Past Performance
Title PRIMARY POC
Name ERIK F SIEVERS
Role EXECUTIVE DIRECTOR
Address 420 E SARNIA ST, STE 2100, WINONA, MN, 55987, USA
Title ALTERNATE POC
Name KIMBERLY A KOLSTAD
Role FINANCE DIRECTOR
Address 420 E SARNIA ST, STE 2100, WINONA, MN, 55987, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELFARE BENEFIT OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2023 410889423 2024-10-01 HIAWATHA VALLEY MENTAL HEALTH CENTER 125
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2023-01-01
Business code 813000
Sponsor’s telephone number 5074536220
Plan sponsor’s mailing address 420 E SARNIA ST, WINONA, MN, 559876365
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Number of participants as of the end of the plan year
Active participants 143

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing ISAAC MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing ISAAC MAYER
Valid signature Filed with authorized/valid electronic signature
WELFARE BENEFIT OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2023 410889423 2024-06-13 HIAWATHA VALLEY MENTAL HEALTH CENTER 125
Three-digit plan number (PN) 502
Effective date of plan 2023-01-01
Business code 813000
Sponsor’s telephone number 5074536220
Plan sponsor’s mailing address 420 E SARNIA ST, WINONA, MN, 559876365
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Number of participants as of the end of the plan year
Active participants 143

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing ISAAC MAYER
Valid signature Filed with authorized/valid electronic signature
WELFARE BENEFIT OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2022 410889423 2024-02-22 HIAWATHA VALLEY MENTAL HEALTH CENTER 110
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2022-01-01
Business code 813000
Sponsor’s telephone number 5074536220
Plan sponsor’s mailing address 420 E SARNIA ST, WINONA, MN, 559876365
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Number of participants as of the end of the plan year
Active participants 125
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-09-19
Name of individual signing ISAAC MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-19
Name of individual signing ISAAC MAYER
Valid signature Filed with authorized/valid electronic signature
WELFARE BENEFIT OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2021 410889423 2022-03-16 HIAWATHA VALLEY MENTAL HEALTH CENTER 109
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2021-01-01
Business code 813000
Sponsor’s telephone number 5074536220
Plan sponsor’s mailing address 420 E SARNIA ST, WINONA, MN, 559876365
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Number of participants as of the end of the plan year
Active participants 110
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2022-03-16
Name of individual signing ISAAC MAYER
Valid signature Filed with authorized/valid electronic signature
WELFARE BENEFIT PLAN OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2020 410889423 2022-03-16 HIAWATHA VALLEY MENTAL HEALTH CENTER 115
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2020-01-01
Business code 813000
Sponsor’s telephone number 5074536220
Plan sponsor’s mailing address 420 E SARNIA ST, WINONA, MN, 559876365
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Number of participants as of the end of the plan year
Active participants 109
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2022-03-16
Name of individual signing ISAAC MAYER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2020 410889423 2021-03-03 HIAWATHA VALLEY MENTAL HEALTH CENTER 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 813000
Sponsor’s telephone number 5074544341
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Signature of
Role Plan administrator
Date 2021-03-03
Name of individual signing KIM KOLSTAD
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2019 410889423 2020-03-06 HIAWATHA VALLEY MENTAL HEALTH CENTER 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 813000
Sponsor’s telephone number 5074544341
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Signature of
Role Plan administrator
Date 2020-03-06
Name of individual signing KIM KOLSTAD
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2018 410889423 2019-03-08 HIAWATHA VALLEY MENTAL HEALTH CENTER 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621420
Sponsor’s telephone number 5074544341
Plan sponsor’s address 420 E SARNIA ST, WINONA, MN, 559876365

Signature of
Role Plan administrator
Date 2019-03-08
Name of individual signing JENNIFER KLINGER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HIAWATHA VALLEY MENTAL HEALTH CENTER 2011 410889423 2012-06-13 HIAWATHA VALLEY MENTAL HEALTH CENTER 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621420
Sponsor’s telephone number 5074544341
Plan sponsor’s address 166 MAIN ST, WINONA, MN, 55987

Plan administrator’s name and address
Administrator’s EIN 410889423
Plan administrator’s name HIAWATHA VALLEY MENTAL HEALTH CENTER
Plan administrator’s address 166 MAIN ST, WINONA, MN, 55987
Administrator’s telephone number 5074544341

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing JENNIFER KLINGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-13
Name of individual signing JENNIFER KLINGER
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Erik Sievers President 420 East Sarnia Street, Suite 2100, Winona, MN 55987, USA

Filing

Filing Name Filing date
Amendment - Nonprofit Corporation (Domestic)Restated Articles 2022-08-31
Registered Office - Nonprofit Corporation (Domestic) 2017-09-25
Annual Reinstatement - Nonprofit Corporation (Domestic) 2007-12-28
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2006-01-26
Nonprofit Corporation (Domestic) Election 1990-12-21
Nonprofit Corporation (Domestic) Restated Articles 1990-12-21
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-02-21
Original Filing - Nonprofit Corporation (Domestic) 1965-05-05
Nonprofit Corporation (Domestic) Business Name (Business Name: Hiawatha Valley Mental Health Center) 1965-05-05

Related by officers

No related officers

Related by address

420 East Sarnia Street, Winona, MN 55987, USA

Hiawatha Bluffs Living, LLC

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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