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  5. Community Health Service Inc.

Community Health Service Inc.

Company Details

Name: Community Health Service Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 27 Nov 1972 (52 years ago)
Company Number: e3af567a-9ed4-e011-a886-001ec94ffe7f
File Number: K-480
Registered Office Address: COMMUNITY HEALTH SERVICE INC DOOR 3, 2310 4TH AVE N, MOORHEAD, MN 56560–2473, USA
ZIP code: 56560
County: Clay County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HF6NE8JKLGV3 2025-04-15 2310 4TH AVE N, MOORHEAD, MN, 56560, 2473, USA 2310 4TH AVE N, MOORHEAD, MN, 56560, 2473, USA

Business Information
URL https://chsiclinics.org
Congressional District 07
State/Country of Incorporation MN, USA
Activation Date 2024-04-18
Initial Registration Date 2004-08-30
Entity Start Date 1972-11-27
Fiscal Year End Close Date Jan 31

Service Classifications
NAICS Codes 621112, 621210

Points of Contacts
Electronic Business
Title PRIMARY POC
Name STEPHANIE LOW
Role CEO
Address 2310 4TH AVE N, MOORHEAD, MN, 56560, 2800, USA
Government Business
Title PRIMARY POC
Name STEPHANIE LOW
Role CEO
Address 2310 4TH AVE N, MOORHEAD, MN, 56560, 2800, USA
Past Performance
Title PRIMARY POC
Name LA TONYA CLARK
Role ADMINISTRATIVE ASSISTANT
Address 2310 4TH AVE N, MOORHEAD, MN, 56560, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2023 411000060 2024-05-14 COMMUNITY HEALTH SERVICE INC. 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 210 4TH AVE N, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-14
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2022 411000060 2023-10-24 COMMUNITY HEALTH SERVICE INC. 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 210 4TH AVE N, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2023-10-23
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-23
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2021 411000060 2022-10-20 COMMUNITY HEALTH SERVICE INC. 74
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2022-10-20
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-20
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2020 411000060 2021-10-27 COMMUNITY HEALTH SERVICE INC. 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2021-10-27
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-27
Name of individual signing STEPHANIE LOW
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2019 411000060 2020-10-12 COMMUNITY HEALTH SERVICE INC. 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing KRISTI HALVARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing KRISTI HALVARSON
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2018 411000060 2019-10-28 COMMUNITY HEALTH SERVICE INC. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2019-10-24
Name of individual signing KRISTIN HALVARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-24
Name of individual signing KRISTIN HALVARSON
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2017 411000060 2018-10-09 COMMUNITY HEALTH SERVICE INC. 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-04
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2016 411000060 2017-10-30 COMMUNITY HEALTH SERVICE INC. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2017-10-27
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-27
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2015 411000060 2016-10-27 COMMUNITY HEALTH SERVICE INC. 74
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2016-10-26
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-26
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HEALTH SERVICE INC. 401(K) PLAN 2014 411000060 2015-11-02 COMMUNITY HEALTH SERVICE INC. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-02-01
Business code 621498
Sponsor’s telephone number 2182366502
Plan sponsor’s address 810 4TH AVENUE SOUTH, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2015-10-30
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-30
Name of individual signing AARON KAKAC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
La Tonya Clark Agent

President

Name Role Address
Stephanie Low President 2310 4TH AVE N, MOORHEAD, MN 56560–2473, United States

Filing

Filing Name Filing date
Amendment - Nonprofit Corporation (Domestic) (Business Name: Community Health Service Inc.) 2014-02-03
Amendment - Nonprofit Corporation (Domestic) (Business Name: Community Health Service, Inc.) 2014-01-23
Annual Reinstatement - Nonprofit Corporation (Domestic) 2009-04-23
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2006-01-26
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1991-02-01
Nonprofit Corporation (Domestic) Business Name (Business Name: Migrant Health Service, Inc.) 1975-11-18
Amendment - Nonprofit Corporation (Domestic) 1973-07-06
Original Filing - Nonprofit Corporation (Domestic) 1972-11-27
Nonprofit Corporation (Domestic) Business Name (Business Name: Minnesota Migrant Health Services, Inc.) 1972-11-27

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 14 Dec 2024

Sources: Minnesota's Official State Website

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