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Psych Recovery, Inc.

Company Details

Name: Psych Recovery, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Mar 2009 (16 years ago)
Company Number: c1095497-93d4-e011-a886-001ec94ffe7f
File Number: 3272087-3
Registered Office Address: 2550 University Ave W, St Paul, MN 55114, USA
Principal Executive Office Address: 277 COON RAPIDS BLVD, STE 410, COON RAPIDS, MN 55433–5543, United States
ZIP code: 55114
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2023 264572985 2024-09-10 PSYCH RECOVERY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE W, SUITE 229N, ST. PAUL, MN, 55114

Signature of

Role Plan administrator
Date 2024-09-10
Name of individual signing KIM HARJU
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2022 264572985 2023-05-03 PSYCH RECOVERY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2023-05-03
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2021 264572985 2022-06-07 PSYCH RECOVERY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2022-06-07
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2020 264572985 2021-03-18 PSYCH RECOVERY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2021-03-18
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2019 264572985 2020-06-07 PSYCH RECOVERY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2020-06-07
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2018 264572985 2019-06-03 PSYCH RECOVERY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2019-06-03
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2017 264572985 2018-03-22 PSYCH RECOVERY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2018-03-22
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2016 264572985 2017-03-14 PSYCH RECOVERY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2017-03-14
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2015 264572985 2016-02-29 PSYCH RECOVERY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2016-02-29
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature
PSYCH RECOVERY, INC. 401(K) P/S PLAN 2014 264572985 2015-05-06 PSYCH RECOVERY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621420
Sponsor’s telephone number 6512878144
Plan sponsor’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114

Plan administrator’s name and address

Administrator’s EIN 264572985
Plan administrator’s name PSYCH RECOVERY, INC.
Plan administrator’s address 2550 UNIVERSITY AVE. W, SUITE 229N, ST. PAUL, MN, 55114
Administrator’s telephone number 6512878144

Signature of

Role Plan administrator
Date 2015-05-06
Name of individual signing SARAH ANDERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
SARAH E ANDERSON Chief Executive Officer 2550 UNIVERISTY AVE W, Suite 229N, ST PAUL, MN 55114–1054, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Psych Recovery, Inc.) 2009-03-30

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website