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Northwest Respiratory Services, LLC

Headquarter

Company Details

Name: Northwest Respiratory Services, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 21 May 1999 (26 years ago)
Company Number: af12936c-b4d4-e011-a886-001ec94ffe7f
File Number: 11757-LLC
Registered Office Address: 1243 EAGAN INDUSTRIAL ROAD, EAGAN, MN 55121, USA
ZIP code: 55121
County: Dakota County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of Northwest Respiratory Services, LLC, COLORADO 20071185400 COLORADO
Headquarter of Northwest Respiratory Services, LLC, COLORADO 20231656152 COLORADO
Headquarter of Northwest Respiratory Services, LLC, ILLINOIS LLC_02438372 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2021 411940432 2022-07-28 NORTHWEST RESPIRATORY SERVICES, LLC 263
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 173
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 66

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-27
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2020 411940432 2021-07-30 NORTHWEST RESPIRATORY SERVICES, LLC 261
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 184
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 74

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2019 411940432 2020-09-09 NORTHWEST RESPIRATORY SERVICES, LLC 244
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 250
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 7

Signature of

Role Plan administrator
Date 2020-07-30
Name of individual signing A1392794
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2018 411940432 2019-07-23 NORTHWEST RESPIRATORY SERVICES, LLC 229
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 236
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 6

Signature of

Role Plan administrator
Date 2019-07-23
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2017 411940432 2018-06-04 NORTHWEST RESPIRATORY SERVICES, LLC 233
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 218
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 9

Signature of

Role Plan administrator
Date 2018-05-31
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2016 411940432 2017-07-08 NORTHWEST RESPIRATORY SERVICES, LLC 242
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 223
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 8

Signature of

Role Plan administrator
Date 2017-07-07
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-07
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2015 411940432 2016-09-21 NORTHWEST RESPIRATORY SERVICES, LLC 244
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 233
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 8

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-21
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2014 411940432 2015-10-14 NORTHWEST RESPIRATORY SERVICES, LLC 215
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 235
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 7

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2013 411940432 2014-05-30 NORTHWEST RESPIRATORY SERVICES, LLC 215
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 195
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 15

Signature of

Role Plan administrator
Date 2014-05-30
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-30
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST RESPIRATORY SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2012 411940432 2013-07-17 NORTHWEST RESPIRATORY SERVICES, LLC 237
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 339110
Sponsor’s telephone number 6516038720
Plan sponsor’s mailing address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Plan sponsor’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 411940432
Plan administrator’s name NORTHWEST RESPIRATORY SERVICES, LLC
Plan administrator’s address 716 PRIOR AVENUE NORTH, ST. PAUL, MN, 55104
Administrator’s telephone number 6516038720

Number of participants as of the end of the plan year

Active participants 199
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 13

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing CHARLES MORGAN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
WILLIAM MORGAN Manager 1243 EAGAN INDUSTRIAL ROAD, EAGAN, MN 55121, USA

Agent

Name Role
Charles W Morgan Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2003-05-16
Original Filing - Limited Liability Company (Domestic) 1999-05-21
Limited Liability Company (Domestic) Business Name (Business Name: Northwest Respiratory Services, LLC) 1999-05-21

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website