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  5. Sholom Community Alliance, LLC

Sholom Community Alliance, LLC

Company Details

Name: Sholom Community Alliance, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Foreign)
Status: Active / In Good Standing
Date formed: 12 Jun 2001 (24 years ago)
Company Number: f5a78f1b-b7d4-e011-a886-001ec94ffe7f
File Number: 3093-LFC
Registered Office Address: 3620 Phillips Pkwy, St Louis Park, MN 55426, USA
Principal Executive Office Address: 3620 PHILLIPS PKWY, ST LOUIS PARK, MN 55426–3700, USA
ZIP code: 55426
County: Hennepin County
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2023 411837022 2024-07-11 SHOLOM COMMUNITY ALLIANCE 15
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing MARTINA CUBAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-11
Name of individual signing MARLETTE KIELCZEWSKI
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2022 411837022 2023-09-07 SHOLOM COMMUNITY ALLIANCE 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing MARTINA CUBAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-05
Name of individual signing MARLETTE KIELCZEWSKI
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2021 411837022 2022-07-28 SHOLOM COMMUNITY ALLIANCE 19
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing MARTINA CUBAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-28
Name of individual signing MARLETTE KIELCZEWSKI
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2020 411837022 2021-06-25 SHOLOM COMMUNITY ALLIANCE 22
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing RICHARD LUTZ
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2019 411837022 2020-07-06 SHOLOM COMMUNITY ALLIANCE 24
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2020-07-06
Name of individual signing MARTINA CUBAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-06
Name of individual signing RICHARD LUTZ
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2018 411837022 2019-09-23 SHOLOM COMMUNITY ALLIANCE 24
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing MARTINA CUBAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-23
Name of individual signing DAVID BERRYMAN
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2017 411837022 2018-10-11 SHOLOM COMMUNITY ALLIANCE 24
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing MARTINA CUBAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing DAVID BERRYMAN
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2016 411837022 2017-10-10 SHOLOM COMMUNITY ALLIANCE 28
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing MARTINA CUBAS
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2015 411837022 2016-09-26 SHOLOM COMMUNITY ALLIANCE 31
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing BONNIE THORESON
Valid signature Filed with authorized/valid electronic signature
SHOLOM COMMUNITY ALLIANCE VARIABLE TAX DEFERRED ANNUITY PLAN 2014 411837022 2015-10-05 SHOLOM COMMUNITY ALLIANCE 32
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1996-01-01
Business code 623000
Sponsor’s telephone number 9529356311
Plan sponsor’s address 3620 PHILLIPS PARKWAY, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing BONNIE THORESON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
David Nirenstein Manager 3620 PHILLIPS PKWY, ST LOUIS PARK, MN 55426–3700, USA

Agent

Name Role
Herbert Schechter Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Foreign) 2018-01-01
Annual Reinstatement - Limited Liability Company (Foreign) 2006-07-25
Revocation - Limited Liability Company (Foreign) 2005-02-02
Original Filing - Limited Liability Company (Foreign) 2001-06-12
Limited Liability Company (Foreign) Business Name (Business Name: Sholom Community Alliance, LLC) 2001-06-12

Related by officers

David Nirenstein

Knollwood Community Housing Corporation Community Housing and Service Corporation Menorah Plaza Housing Corporation SHOLOM COMMUNITY ALLIANCE SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE SHOLOM HOME EAST, INC. SHOLOM HOME, INC. SHOLOM ST. PAUL SHOLOM ST. PAUL SENIOR HOUSING, INC. SHOLOM HOME WEST, INC.

Herbert Schechter

Sholom Community Alliance Minneapolis Assisted Living Project Sholom Community Alliance St. Paul Assisted Living Project HS Communications Inc.

Related by address

3620 Phillips Pkwy, St Louis Park, MN 55426, USA

KNOLLWOOD PLACE APARTMENTS JOHNSON HOSPICE CARE AGENCY Sholom SHOLOM CARE Sholom Home Care and Hospice Sholom Community Alliance Minneapolis Assisted Living Project Sholom Community Alliance St. Paul Assisted Living Project

3620 PHILLIPS PKWY, ST LOUIS PARK, MN 55426–3700, USA

SHOLOM COMMUNITY ALLIANCE SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE SHOLOM HOME, INC. SHOLOM HOME WEST, INC. SHOLOM ST. PAUL SHOLOM ST. PAUL SENIOR HOUSING, INC.

Date of last update: 04 Jan 2025

Sources: Minnesota's Official State Website

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