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LSS of Frazee, LLC

Company Details

Name: LSS of Frazee, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Foreign)
Status: Active / In Good Standing
Date formed: 30 Mar 2007 (18 years ago)
Company Number: 07ee047c-8fd4-e011-a886-001ec94ffe7f
File Number: 2292853-2
Registered Office Address: 1010 Dale St North, Saint Paul, MN 55117–5603, USA
Principal Executive Office Address: 12900 Whitewater Drive, Suite 201, Minneapolis, MN 55343, USA
ZIP code: 55343
County: Hennepin County
Place of Formation: Wisconsin

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRAZEE CARE CENTER 401(K) PLAN 2023 208729268 2024-07-22 LSS OF FRAZEE, LLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2024-07-22
Name of individual signing AMBER ROGOTZKE
Valid signature Filed with authorized/valid electronic signature
FRAZEE CARE CENTER 401(K) PLAN 2022 208729268 2023-06-30 LSS OF FRAZEE, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2023-06-30
Name of individual signing AMBER ROGOTZKE
Valid signature Filed with authorized/valid electronic signature
FRAZEE CARE CENTER 401(K) PLAN 2021 208729268 2022-07-27 LSS OF FRAZEE, LLC 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing AMBER ROGOTZKE
Valid signature Filed with authorized/valid electronic signature
FRAZEE CARE CENTER 401(K) PLAN 2020 208729268 2021-06-08 LSS OF FRAZEE, LLC 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2021-06-08
Name of individual signing AMBER ROGOTZKE
Valid signature Filed with authorized/valid electronic signature
FRAZEE CARE CENTER 401(K) PLAN 2019 208729268 2020-07-09 LSS OF FRAZEE, LLC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2020-07-09
Name of individual signing AMBER ROGOTZKE
Valid signature Filed with authorized/valid electronic signature
FRAZEE CARE CENTER 401(K) PLAN 2018 208729268 2019-06-07 LSS OF FRAZEE, LLC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2019-06-07
Name of individual signing AMBER ROGOTZKE
Valid signature Filed with authorized/valid electronic signature
FRAZEE CARE CENTER 401(K) PLAN 2017 208729268 2018-10-10 LSS OF FRAZEE, LLC 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544
FRAZEE CARE CENTER 401(K) PLAN 2016 208729268 2017-10-02 LSS OF FRAZEE, LLC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 WEST MAPLE AVENUE, FRAZEE, MN, 56544
FRAZEE CARE CENTER 401(K) PLAN 2015 208729268 2016-08-31 LSS OF FRAZEE, LLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 7632258622
Plan sponsor’s address 219 W MAPLE AVE., FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2016-08-31
Name of individual signing SHANNON THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-31
Name of individual signing SHANNON THOMPSON
Valid signature Filed with authorized/valid electronic signature
FRAZEE CARE CENTER 401(K) PLAN 2014 208729268 2015-10-15 LSS OF FRAZEE, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 623000
Sponsor’s telephone number 2183344501
Plan sponsor’s address 219 W MAPLE AVE., FRAZEE, MN, 56544

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing KYLIE HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing KYLIE HANSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Eric Lunde Manager 14416 Spring Lake Road, Minnetonka, MN 55345, USA

Agent

Name Role
C T Corporation System Inc. Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Foreign) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Foreign) 2016-05-12
Annual Reinstatement - Limited Liability Company (Foreign) 2009-06-30
Revocation - Limited Liability Company (Foreign) 2009-01-05
Original Filing - Limited Liability Company (Foreign) 2007-03-30
Limited Liability Company (Foreign) Business Name (Business Name: LSS of Frazee, LLC) 2007-03-30

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website