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  5. Premier Healthcare Services, Inc.

Premier Healthcare Services, Inc.

Company Details

Name: Premier Healthcare Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 15 Dec 2000 (24 years ago)
Company Number: b8ece6ae-9dd4-e011-a886-001ec94ffe7f
File Number: 11L-161
Registered Office Address: 6461 Lyndale Ave S, Richfield, MN 55423, USA
Principal Executive Office Address: 719 East 51st Street, Mpls, MN 55417, US
ZIP code: 55423
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2012 411990482 2013-12-30 PREMIER HEALTHCARE SERVICES, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Signature of
Role Plan administrator
Date 2013-12-30
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2012 411990482 2013-06-24 PREMIER HEALTHCARE SERVICES, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-24
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2011 411990482 2012-07-24 PREMIER HEALTHCARE SERVICES, INC. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Plan administrator’s name and address
Administrator’s EIN 411990482
Plan administrator’s name PREMIER HEALTHCARE SERVICES, INC.
Plan administrator’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423
Administrator’s telephone number 6127671229

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2010 411990482 2011-07-20 PREMIER HEALTHCARE SERVICES, INC. 78
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Plan administrator’s name and address
Administrator’s EIN 411990482
Plan administrator’s name PREMIER HEALTHCARE SERVICES, INC.
Plan administrator’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423
Administrator’s telephone number 6127671229

Signature of
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing PREMIER HEALTHCARE SERVICES
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2010 411990482 2011-07-20 PREMIER HEALTHCARE SERVICES, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Plan administrator’s name and address
Administrator’s EIN 411990482
Plan administrator’s name PREMIER HEALTHCARE SERVICES, INC.
Plan administrator’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423
Administrator’s telephone number 6127671229

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2009 411990482 2010-10-15 PREMIER HEALTHCARE SERVICES, INC. 63
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Plan administrator’s name and address
Administrator’s EIN 411990482
Plan administrator’s name PREMIER HEALTHCARE SERVICES, INC.
Plan administrator’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423
Administrator’s telephone number 6127671229

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with incorrect/unrecognized electronic signature
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2009 411990482 2010-10-15 PREMIER HEALTHCARE SERVICES, INC. 63
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Plan administrator’s name and address
Administrator’s EIN 411990482
Plan administrator’s name PREMIER HEALTHCARE SERVICES, INC.
Plan administrator’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423
Administrator’s telephone number 6127671229

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with incorrect/unrecognized electronic signature
PREMIER HEALTHCARE SERVICES, INC. 401K PLAN 2009 411990482 2010-10-15 PREMIER HEALTHCARE SERVICES, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 6127671229
Plan sponsor’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423

Plan administrator’s name and address
Administrator’s EIN 411990482
Plan administrator’s name PREMIER HEALTHCARE SERVICES, INC.
Plan administrator’s address 6461 LYNDALE AVE SO, RICHFIELD, MN, 55423
Administrator’s telephone number 6127671229

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing CYNTHIA KNUTSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Sally Knutson Chief Executive Officer 719 East 51st Street, Mpls, MN 55417, US

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2017-01-08
Administrative Dissolution - Business Corporation (Domestic) 2015-06-08
Registered Office and/or Agent - Business Corporation (Domestic) 2002-10-28
Original Filing - Business Corporation (Domestic) 2000-12-15
Business Corporation (Domestic) Business Name (Business Name: Premier Healthcare Services, Inc.) 2000-12-15

Related by officers

Sally Knutson

Mefford, Knutson and Associates, Inc. ASSISTED LIVING COMPANY, LLC Crystal Care Home Health Services, Inc. Crystal Care PCA, Inc. Crystal Care Support Services, Inc.

Related by address

6461 Lyndale Ave S, Richfield, MN 55423, USA

CINE SOUND 2, INC. CINE SOUND 2 Crystal Care Assisted Living Crystal Care Home Health Services, Inc. Crystal Care PCA, Inc. Crystal Care Support Services, Inc.

Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website

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