| Name: | Affinity Residential Care LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Inactive |
| Date formed: | 04 Aug 2019 (5 years ago) |
| Company Number: | b586ec21-22b7-e911-9179-00155d01b32c |
| File Number: | 1095084400025 |
| Registered Office Address: | 140 W 98TH ST, SUITE 205, BLOOMINGTON, MN 55420–5542, USA |
| Principal Executive Office Address: | 140 West 98th Street, Suite 215, Bloomington, MN 55420–5542, United States |
| Mailing Address: | 13441 Carbury Way, Rosemount, MN 55068–5506, United States |
| ZIP code: | 55420 |
| County: | Hennepin County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFINITY RESIDENTIAL CARE LLC 401(K) PLAN | 2023 | 842744276 | 2024-06-21 | AFFINITY RESIDENTIAL CARE LLC | 29 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-06-21 |
| Name of individual signing | BAO HER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-02-12 |
| Business code | 621610 |
| Sponsor’s telephone number | 6129618552 |
| Plan sponsor’s address | 8053 E BLOOMINGTON FWY, STE 500, BLOOMINGTON, MN, 55420 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-28 |
| Name of individual signing | BAO HER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Zahnia A Harut | Manager | 140 West 98th St, Suite 215, Bloomington, MN 55420, USA |
| Name | Role |
|---|---|
| Zahnia Aminah Harut | Agent |
| Filing Name | Filing date |
|---|---|
| Statement of Termination – Limited Liability Company (Domestic) | 2022-04-01 |
| Statement of Dissolution – Limited Liability Company (Domestic) | 2022-03-29 |
| Registered Office and/or Agent - Limited Liability Company (Domestic) | 2020-08-08 |
| Original Filing - Limited Liability Company (Domestic) (Business Name: Affinity Residential Care LLC)Professional Service - Registered Nursing | 2019-08-04 |
Date of last update: 29 Nov 2024
Sources: Minnesota's Official State Website
