| Name: | Healthworks Home Medical, Inc. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Inactive |
| Date formed: | 26 Jul 1996 (28 years ago) |
| Company Number: | b38b8368-a3d4-e011-a886-001ec94ffe7f |
| File Number: | 9G-790 |
| Registered Office Address: | 1895 W County Road C, Roseville, MN 55113, USA |
| Principal Executive Office Address: | 1895 W County RD C, Roseville, MN 55113–1304, USA |
| ZIP code: | 55113 |
| County: | Ramsey County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHWORKS HOME MEDICAL, INC. 401K PLAN | 2010 | 411918253 | 2011-02-15 | HEALTHWORKS HOME MEDICAL, INC. | 11 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 411918253 |
| Plan administrator’s name | HEALTHWORKS HOME MEDICAL, INC. |
| Plan administrator’s address | 1895 WEST COUNTY ROAD C, ROSEVILLE, MN, 55113 |
| Administrator’s telephone number | 6512090591 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-15 |
| Name of individual signing | ROBERT JELLUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-02-15 |
| Name of individual signing | ROBERT JELLUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-06-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 6512090591 |
| Plan sponsor’s address | 1895 WEST COUNTY ROAD C, ROSEVILLE, MN, 55113 |
Plan administrator’s name and address
| Administrator’s EIN | 411918253 |
| Plan administrator’s name | HEALTHWORKS HOME MEDICAL, INC. |
| Plan administrator’s address | 1895 WEST COUNTY ROAD C, ROSEVILLE, MN, 55113 |
| Administrator’s telephone number | 6512090591 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-14 |
| Name of individual signing | ROBERT JELLUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-14 |
| Name of individual signing | ROBERT JELLUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Chad Jellum | Chief Executive Officer | 1895 W County RD C, Roseville, MN 55113–1304, USA |
| Filing Name | Filing date |
|---|---|
| Administrative Dissolution Name Hold Release - Business Corporation (Domestic) | 2013-08-06 |
| Administrative Dissolution - Business Corporation (Domestic) | 2012-08-01 |
| Registered Office and/or Agent - Business Corporation (Domestic) | 2009-12-09 |
| Original Filing - Business Corporation (Domestic) | 1996-07-26 |
| Business Corporation (Domestic) Business Name (Business Name: Healthworks Home Medical, Inc.) | 1996-07-26 |
Date of last update: 30 Sep 2024
Sources: Minnesota's Official State Website
