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  5. ANNANDALE CARE CENTER

ANNANDALE CARE CENTER

Company Details

Name: ANNANDALE CARE CENTER
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 02 Mar 1973 (52 years ago)
Company Number: a018cf48-aed4-e011-a886-001ec94ffe7f
File Number: K-772
Registered Office Address: 500 Park St E, Annandale, MN 55302, USA
ZIP code: 55302
County: Wright County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AHCS 403(B) PLAN 2023 237296950 2024-09-18 ANNANDALE CARE CENTER 178
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 623000
Sponsor’s telephone number 3202743737
Plan sponsor’s address 500 PARK STREET E., ANNADALE, MN, 55302

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing ELSA NISKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-17
Name of individual signing ELSA NISKA
Valid signature Filed with authorized/valid electronic signature
AHCS 403(B) PLAN 2022 237296950 2023-10-18 ANNANDALE CARE CENTER 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 623000
Sponsor’s telephone number 3202743737
Plan sponsor’s address 500 PARK STREET E., ANNADALE, MN, 55302

Signature of
Role Plan administrator
Date 2023-10-18
Name of individual signing JENNIFER KEMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-18
Name of individual signing JENNIFER KEMP
Valid signature Filed with authorized/valid electronic signature
ANNANDALE CARE CENTER 403(B) SAVINGS PLAN 2014 237296950 2015-10-28 ANNANDALE CARE CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 3202743737
Plan sponsor’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302

Signature of
Role Plan administrator
Date 2015-10-28
Name of individual signing DEBRA REITMEIER
Valid signature Filed with authorized/valid electronic signature
ANNANDALE CARE CENTER 403(B) SAVINGS PLAN 2012 237296950 2013-06-12 ANNANDALE CARE CENTER 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 3202743737
Plan sponsor’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing DEB REITMEIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-12
Name of individual signing DEBRA REITMEIER
Valid signature Filed with authorized/valid electronic signature
ANNANDALE CARE CENTER 403(B) SAVINGS PLAN 2011 237296950 2012-06-18 ANNANDALE CARE CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 3202743737
Plan sponsor’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302

Plan administrator’s name and address
Administrator’s EIN 237296950
Plan administrator’s name ANNANDALE CARE CENTER
Plan administrator’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302
Administrator’s telephone number 3202743737

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing DEB REITMEIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-18
Name of individual signing DEB REITMEIER
Valid signature Filed with authorized/valid electronic signature
ANNANDALE CARE CENTER 403(B) SAVINGS PLAN 2010 237296950 2011-06-07 ANNANDALE CARE CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 3202743737
Plan sponsor’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302

Plan administrator’s name and address
Administrator’s EIN 237296950
Plan administrator’s name ANNANDALE CARE CENTER
Plan administrator’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302
Administrator’s telephone number 3202743737

Signature of
Role Plan administrator
Date 2011-06-07
Name of individual signing DEBRA REITMEIER, LNHA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-07
Name of individual signing DEBRA REITMEIER, LNHA
Valid signature Filed with authorized/valid electronic signature
ANNANDALE CARE CENTER 403(B) SAVINGS PLAN 2009 237296950 2010-06-24 ANNANDALE CARE CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 3202743737
Plan sponsor’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302

Plan administrator’s name and address
Administrator’s EIN 237296950
Plan administrator’s name ANNANDALE CARE CENTER
Plan administrator’s address 500 PARK STREET EAST, ANNANDALE, MN, 55302
Administrator’s telephone number 3202743737

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing DEB REITMEIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-24
Name of individual signing DEB REITMEIER
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Elsa M Niska President 500 PARK ST E, ANNANDALE, MN 55302, USA

Agent

Name Role
Elsa M. Niska Agent

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2023-03-21
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2023-01-25
Merger Survivor - Nonprofit Corporation (Domestic) 2021-07-27
Nonprofit Corporation (Domestic) Business Name (Business Name: ANNANDALE CARE CENTER) 1995-09-28
Nonprofit Corporation (Domestic) Restated Articles 1995-09-28
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-02-09
Nonprofit Corporation (Domestic) Business Name (Business Name: ANNANDALE CARE CENTER, INC.) 1982-05-12
Amendment - Nonprofit Corporation (Domestic) 1973-05-01
Original Filing - Nonprofit Corporation (Domestic) 1973-03-02
Nonprofit Corporation (Domestic) Business Name (Business Name: Annandale Clinic, Inc.) 1973-03-02

Related by officers

Elsa M Niska

ANNANDALE HEALTH & COMMUNITY SERVICES HEARTLAND TRANSIT

Elsa M. Niska

HEARTLAND TRANSIT

Related by address

500 Park St E, Annandale, MN 55302, USA

ANNANDALE HEALTH & COMMUNITY SERVICES ANNANDALE CONGREGATE HOUSING

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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