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Ely-Bloomenson Community Hospital

Company Details

Name: Ely-Bloomenson Community Hospital
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 08 Oct 1956 (68 years ago)
Company Number: eb3bf91d-a2d4-e011-a886-001ec94ffe7f
File Number: B-774
Registered Office Address: 328 W Conan Str, Ely, MN 55731, USA
ZIP code: 55731
County: Lake County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELY-BLOOMENSON COMMUNITY HOSPITAL EMPLOYEES PENSION PLAN 2023 410808719 2024-10-10 ELY-BLOOMENSON COMMUNITY HOSPITAL 131
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 622110
Sponsor’s telephone number 2183658709
Plan sponsor’s address 328 W CONAN ST, ELY, MN, 55731

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing ROCHELLE SJOBERG
Valid signature Filed with authorized/valid electronic signature
ELY-BLOOMENSON COMMUNITY HOSPITAL EMPLOYEES PENSION PLAN 2022 410808719 2023-10-16 ELY-BLOOMENSON COMMUNITY HOSPITAL 85
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 622110
Sponsor’s telephone number 2183658709
Plan sponsor’s address 328 W CONAN ST, ELY, MN, 55731

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing ROCHELLE SJOBERG
Valid signature Filed with authorized/valid electronic signature
ELY-BLOOMENSON COMMUNITY HOSPITAL EMPLOYEES PENSION PLAN 2021 410808719 2022-10-13 ELY-BLOOMENSON COMMUNITY HOSPITAL 92
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 622000
Sponsor’s telephone number 2183658709
Plan sponsor’s address 328 W CONAN ST, ELY, MN, 55731

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing ROCHELLE SJOBERG
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Patricia Banks President 328 W CONAN ST, ELY, MN 55731–1145, USA

Filing

Filing Name Filing date
Amendment - Nonprofit Corporation (Domestic) (Business Name: Ely-Bloomenson Community Hospital) 2014-10-20
Amendment - Nonprofit Corporation (Domestic)Restated Articles 2012-12-31
Annual Reinstatement - Nonprofit Corporation (Domestic) 2012-08-27
Nonprofit Corporation (Domestic) Other 2006-05-16
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2006-01-26
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-03-28
Nonprofit Corporation (Domestic) Business Name (Business Name: Ely-Bloomenson Community Hospital and NursingHome Corporation) 1981-11-30
Amendment - Nonprofit Corporation (Domestic) 1967-11-22
Original Filing - Nonprofit Corporation (Domestic) (Business Name: Ely-Bloomenson Community Hospital and Nursing Home Corporation) 1956-10-08
Nonprofit Corporation (Domestic) Business Name (Business Name: Ely Bloomenson Community Hospital Corporation) 1956-10-08

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website