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  5. Quorum Health Care Services LLC

Quorum Health Care Services LLC

Company Details

Name: Quorum Health Care Services LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 13 Aug 2012 (12 years ago)
Company Number: cba00a11-24e6-e111-afc0-001ec94ffe7f
File Number: 613213500029
Registered Office Address: 90 WEST COUNTY ROAD C, SUITE 300, LITTLE CANADA, MN 55117, USA
Principal Executive Office Address: 90 WEST COUNTY ROAD C SUITE 300, LITTLE CANADA, MN 55117, USA
ZIP code: 55117
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
QUORUM HEALTH CARE SERVICES 2020 454857593 2021-12-13 QUORUM HEALTH CARE SERVICES LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2021-12-13
Name of individual signing KRISTIN PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-12-13
Name of individual signing KRISTIN PETERSON
Valid signature Filed with authorized/valid electronic signature
QUORUM HEALTH CARE SERVICES 2020 454857593 2021-06-08 QUORUM HEALTH CARE SERVICES LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2021-06-08
Name of individual signing KRIS PETERSON
Valid signature Filed with authorized/valid electronic signature
QUORUM HEALTH CARE SERVICES 2019 454857593 2020-06-30 QUORUM HEALTH CARE SERVICES LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing KRIS PETERSON
Valid signature Filed with authorized/valid electronic signature
QUORUM HEALTH CARE SERVICES 2018 454857593 2019-05-31 QUORUM HEALTH CARE SERVICES LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2019-05-31
Name of individual signing KRIS PETERSON
Valid signature Filed with authorized/valid electronic signature
QUORUM HEALTH CARE SERVICES 2017 454857593 2018-06-11 QUORUM HEALTH CARE SERVICES LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing KRIS PETERSON
Valid signature Filed with authorized/valid electronic signature
QUORUM HEALTH CARE SERVICES 2016 454857593 2017-06-02 QUORUM HEALTH CARE SERVICES LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing KRIS PETERSON
Valid signature Filed with authorized/valid electronic signature
QUORUM HEALTH CARE SERVICES 2015 454857593 2016-06-15 QUORUM HEALTH CARE SERVICES LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing KRIS PETERSON
Valid signature Filed with authorized/valid electronic signature
QUORUM HEALTH CARE SERVICES 2014 454857593 2015-06-22 QUORUM HEALTH CARE SERVICES LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-08-01
Business code 611000
Sponsor’s telephone number 6517893714
Plan sponsor’s address 90 WEST COUNTRY ROAD C, SUITE 300, ST PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2015-06-22
Name of individual signing ERIN COLLINS
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
ERIN COLLINS Manager 90 WEST COUNTY ROAD C SUITE 300, ST PAUL, MN 55113, USA

Agent

Name Role
ERIN COLLINS Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2022-08-27
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Quorum Health Care Services LLC) 2012-08-13

Related by officers

ERIN COLLINS

AmedcoEDU

Related by address

No related companies by address

Date of last update: 11 Jan 2025

Sources: Minnesota's Official State Website

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