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  5. Health Services Network, Inc.

Health Services Network, Inc.

Company Details

Name: Health Services Network, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 07 Sep 1993 (31 years ago)
Company Number: 0cadfdea-a2d4-e011-a886-001ec94ffe7f
File Number: 7Y-88
Registered Office Address: 114 2nd Str NE, Fosston, MN 56542, USA
Principal Executive Office Address: 114 2ND ST NE, FOSSTON, MN 56542–1302, USA
ZIP code: 56542
County: Polk County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE 401(K) PLAN 2023 411760229 2024-05-09 HEALTH SERVICES NETWORK, INC. 128
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2184356205
Plan sponsor’s address 114-2ND STREET N.E., FOSSTON, MN, 56542

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE 401(K) PLAN 2018 411760229 2019-10-15 HEALTH SERVICES NETWORK, INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2184356205
Plan sponsor’s address 114-2ND STREET N.E., FOSSTON, MN, 56542

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE 401(K) PLAN 2017 411760229 2018-09-26 HEALTH SERVICES NETWORK, INC. 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2184356205
Plan sponsor’s address 114-2ND STREET N.E., FOSSTON, MN, 56542

Signature of
Role Plan administrator
Date 2018-09-24
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-24
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE 401(K) PLAN 2016 411760229 2017-07-27 HEALTH SERVICES NETWORK, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2184356205
Plan sponsor’s address 114-2ND STREET N.E., FOSSTON, MN, 56542

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE 401(K) PLAN 2015 411760229 2016-09-27 HEALTH SERVICES NETWORK, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2184356205
Plan sponsor’s address 114-2ND STREET N.E., FOSSTON, MN, 56542

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-27
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE 401(K) PLAN 2014 411760229 2015-07-14 HEALTH SERVICES NETWORK, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2184356205
Plan sponsor’s address 114-2ND STREET N.E., FOSSTON, MN, 56542

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing ALLEN POTVIN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kari Swanson Chief Executive Officer 114 2ND ST NE, FOSSTON, MN 56542–1302, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2013-03-22
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Registered Office and/or Agent - Business Corporation (Domestic) 1997-05-01
Original Filing - Business Corporation (Domestic) 1993-09-07
Business Corporation (Domestic) Business Name (Business Name: Health Services Network, Inc.) 1993-09-07

Related by officers

Kari Swanson

Cornerstone Nursing & Rehab. Center, Inc. Cornerstone Residence of Bagley, Inc. MIDWAY CARE CENTER, INC. Kelliher Care Center, Inc. Cornerstone Senior Living LLC

Related by address

114 2nd Str NE, Fosston, MN 56542, USA

Cornerstone Nursing & Rehab. Center, Inc. Cornerstone Residence of Bagley, Inc. MIDWAY CARE CENTER, INC. Foundation for Rural Health Care

114 2ND ST NE, FOSSTON, MN 56542–1302, USA

Cornerstone Residence of Bagley MIDWAY CARE CENTER, INC. The Townhomes by Cornerstone, LLC

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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