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Adult Day Services, Inc.

Company Details

Name: Adult Day Services, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 13 May 2002 (23 years ago)
Company Number: 9af610e8-b2d4-e011-a886-001ec94ffe7f
File Number: 1Z-658
Registered Office Address: 620 Carr Lake Rd SE, Bemidji, MN 56601, USA
ZIP code: 56601
County: Beltrami County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADULT DAY SERVICES, INC. 401(K) PLAN 2023 431960840 2024-12-19 ADULT DAY SERVICES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-03-01
Business code 624310
Sponsor’s telephone number 2187511324
Plan sponsor’s address 620 CARR LK RD SE, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2024-12-19
Name of individual signing APRIL COLLMAN
Valid signature Filed with authorized/valid electronic signature
ADULT DAY SERVICES, INC. 401(K) PLAN 2022 431960840 2023-10-12 ADULT DAY SERVICES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-03-01
Business code 624310
Sponsor’s telephone number 2187511324
Plan sponsor’s address 620 CARR LK RD SE, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing APRIL COLLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing APRIL COLLMAN
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
April Collman President 620 Carr Lake Rd SE, Bemidji, MN 56601, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2013-08-27
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2013-02-27
Consent to Use of Name - Nonprofit Corporation (Domestic) 2007-10-15
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2007-01-24
Original Filing - Nonprofit Corporation (Domestic) 2002-05-13
Nonprofit Corporation (Domestic) Business Name (Business Name: Adult Day Services, Inc.) 2002-05-13

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
43-1960840 Corporation Unconditional Exemption 620 CARR LAKE RD SE, BEMIDJI, MN, 56601-8498 2002-05
In Care of Name % APRIL COLLMAN
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1075242
Income Amount 1165202
Form 990 Revenue Amount 1165202
National Taxonomy of Exempt Entities Human Services: Senior Centers
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 ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name ADULT DAY SERVICES INC
EIN 43-1960840
Tax Period 201512
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
5318357008 2020-04-05 0508 PPP 620 CARR LAKE RD, BEMIDJI, MN, 56601-8498
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 53500
Loan Approval Amount (current) 53500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 36643
Servicing Lender Name The First National Bank of Bemidji
Servicing Lender Address 1600 Paul Bunyan Dr NW, BEMIDJI, MN, 56601-4105
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BEMIDJI, BELTRAMI, MN, 56601-8498
Project Congressional District MN-08
Number of Employees 11
NAICS code 624120
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 36643
Originating Lender Name The First National Bank of Bemidji
Originating Lender Address BEMIDJI, MN
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 53843.29
Forgiveness Paid Date 2020-12-03
7476248403 2021-02-12 0508 PPS 620 Carr Lake Rd SE, Bemidji, MN, 56601-8498
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 91482.5
Loan Approval Amount (current) 91482.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 36643
Servicing Lender Name The First National Bank of Bemidji
Servicing Lender Address 1600 Paul Bunyan Dr NW, BEMIDJI, MN, 56601-4105
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bemidji, BELTRAMI, MN, 56601-8498
Project Congressional District MN-08
Number of Employees 10
NAICS code 624120
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 36643
Originating Lender Name The First National Bank of Bemidji
Originating Lender Address BEMIDJI, MN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 91787.44
Forgiveness Paid Date 2021-06-23

Date of last update: 04 Feb 2025

Sources: Minnesota's Official State Website