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  5. CHERNUGAL, INC.

CHERNUGAL, INC.

Company Details

Name: CHERNUGAL, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 27 Feb 1995 (30 years ago)
Company Number: a7c40bf3-b1d4-e011-a886-001ec94ffe7f
File Number: 8P-212
Registered Office Address: 217 Paul Bunyan Drv NW, 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
MEDSAVE SAFE HARBOR 401(K) PLAN 2017 411806233 2018-05-22 CHERNUGAL, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Signature of
Role Plan administrator
Date 2018-05-22
Name of individual signing MARY CHERNUGAL
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2017 411806233 2018-08-14 CHERNUGAL, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Signature of
Role Plan administrator
Date 2018-08-14
Name of individual signing MARY CHERNUGAL
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2016 411806233 2017-09-06 CHERNUGAL, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2017-09-06
Name of individual signing MARY CHERNUGAL
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2015 411806233 2016-10-12 CHERNUGAL, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing RHONDA DOCKENDORF
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2014 411806233 2015-09-25 CHERNUGAL, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2015-09-25
Name of individual signing RHONDA DOCKENDORF
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2013 411806233 2014-10-14 CHERNUGAL, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing RHONDA DOCKENDORF
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2012 411806233 2013-10-14 CHERNUGAL, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing JOAN MARTENS
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2011 411806233 2012-05-17 CHERNUGAL, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2012-05-17
Name of individual signing JOAN MARTENS
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2010 411806233 2011-07-21 CHERNUGAL, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing JOAN MARTENS
Valid signature Filed with authorized/valid electronic signature
MEDSAVE SAFE HARBOR 401(K) PLAN 2009 411806233 2010-07-23 CHERNUGAL, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-08-01
Business code 446110
Sponsor’s telephone number 2187591222
Plan sponsor’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601

Plan administrator’s name and address
Administrator’s EIN 411806233
Plan administrator’s name CHERNUGAL, INC.
Plan administrator’s address 217 PAUL BUNYAN DRIVE NW, BEMIDJI, MN, 56601
Administrator’s telephone number 2187591222

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing JOAN MARTENS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Richard Chernugal Chief Executive Officer 217 Paul Bunyan Drv NW, Bemidji, MN 56601, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2020-02-20
Registered Office and/or Agent - Business Corporation (Domestic) 1997-08-05
Original Filing - Business Corporation (Domestic) 1995-02-27
Business Corporation (Domestic) Business Name (Business Name: CHERNUGAL, INC.) 1995-02-27

Related by officers

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Related by address

217 Paul Bunyan Drv NW, Bemidji, MN 56601, USA

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Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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