| Name: | Peaceful Mind Mental Health LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 22 Jan 2019 (6 years ago) |
| Company Number: | d04603ac-911e-e911-916a-00155d0deff0 |
| File Number: | 1064232900022 |
| Registered Office Address: | 18317 County Hwy 33, Fergus Falls, MN 56537, USA |
| Mailing Address: | PO box 822, Fergus Falls, MN 56538, US |
| Principal Executive Office Address: | 118 N MAIN AVE STE 203, PO BOX 341, NEW YORK MILLS, MN 56567–0341, United States |
| ZIP code: | 56537 |
| County: | Otter Tail County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEACEFUL MIND MENTAL HEALTH 401(K) PLAN | 2023 | 842050662 | 2024-05-16 | PEACEFUL MIND MENTAL HEALTH LLC | 7 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-16 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 2187318896 |
| Plan sponsor’s address | PO BOX 341, NEW YORK MILLS, MN, 56567 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 2187318896 |
| Plan sponsor’s address | PO BOX 341, NEW YORK MILLS, MN, 56567 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-19 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Rebecca Koskiniemi | Manager | STE 203, 118 MAIN AVE N, NEW YORK MILLS, MN 56567, United States |
| Name | Role |
|---|---|
| Rebecca Koskiniemi | Agent |
| Filing Name | Filing date |
|---|---|
| Annual Reinstatement - Limited Liability Company (Domestic) | 2022-03-02 |
| Administrative Termination - Limited Liability Company (Domestic) | 2022-02-01 |
| Original Filing - Limited Liability Company (Domestic) (Business Name: Peaceful Mind Mental Health LLC)Professional Service - Social Work | 2019-01-22 |
Date of last update: 23 Sep 2024
Sources: Minnesota's Official State Website
