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Sibley County Developmental Achievement Center, Inc.

Company Details

Name: Sibley County Developmental Achievement Center, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 25 Mar 1969 (56 years ago)
Company Number: ecf2bf2f-b3d4-e011-a886-001ec94ffe7f
File Number: H-668
Registered Office Address: 203 Shamrock Drv, PO Box 916, Arlington, MN 55327, USA
ZIP code: 55327
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2023 410956568 2024-10-03 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2024-10-03
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2022 410956568 2023-09-12 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2023-09-12
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-12
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2021 410956568 2022-09-21 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2020 410956568 2021-07-15 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2021-07-15
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-15
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2019 410956568 2020-10-12 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2018 410956568 2019-08-12 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2019-08-12
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-12
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2017 410956568 2018-10-04 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-04
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2016 410956568 2017-05-25 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2017-05-25
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2015 410956568 2016-06-27 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2016-06-27
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-27
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
SIBLEY COUNTY DEVELOPMENTAL ACHIVEMENT CENTER 403B PLAN 2014 410956568 2015-02-26 SIBLEY COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621610
Sponsor’s telephone number 5079645726
Plan sponsor’s address PO BOX 916, ARLINGTON, MN, 55307

Signature of

Role Plan administrator
Date 2015-02-26
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-26
Name of individual signing MARK PAULY
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Eugene Grack President 1106 WRIGLEY CT, SAINT PETER, MN 56082–1186, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2022-05-18
Nonprofit Corporation (Domestic) Other 2006-08-28
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2006-01-26
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-02-09
Nonprofit Corporation (Domestic) Business Name (Business Name: Sibley County Developmental Achievement Center,Inc.) 1979-10-17
Nonprofit Corporation (Domestic) Restated Articles 1975-08-12
Original Filing - Nonprofit Corporation (Domestic) (Business Name: Sibley County Developmental Achievement Center, Inc.) 1969-03-25
Nonprofit Corporation (Domestic) Business Name (Business Name: Sibley County Day Activity Center, Inc.) 1969-03-25

Date of last update: 10 Jan 2025

Sources: Minnesota's Official State Website