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North Shore Group Holdings, Inc.

Company Details

Name: North Shore Group Holdings, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 Feb 2014 (11 years ago)
Company Number: 1417a306-0394-e311-97ba-001ec94ffe7f
File Number: 733037800021
Registered Office Address: 227 West 1st St Ste 500, Duluth, MN 55802, USA
Principal Executive Office Address: 710 S 59TH AVE W, DULUTH, MN 55807–2181, USA
ZIP code: 55802
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2023 465013941 2024-07-04 NORTH SHORE GROUP HOLDINGS, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273671
Plan sponsor’s address 710 S 59TH AVE W, DULUTH, MN, 55807

Plan administrator’s name and address

Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of

Role Plan administrator
Date 2024-07-04
Name of individual signing TIFFANY CHENARD
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2022 465013941 2023-07-31 NORTH SHORE GROUP HOLDINGS, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273671
Plan sponsor’s address 710 SOUTH 59TH AVENUE WEST, DULUTH, MN, 55807

Plan administrator’s name and address

Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing STEPHANIE FEYMA
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2021 465013941 2022-10-13 NORTH SHORE GROUP HOLDINGS, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273671
Plan sponsor’s address 710 SOUTH 59TH AVENUE WEST, DULUTH, MN, 55807

Plan administrator’s name and address

Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing ERIC QUELLA
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2020 465013941 2021-07-26 NORTH SHORE GROUP HOLDINGS, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273671
Plan sponsor’s address 710 SOUTH 59TH AVENUE WEST, DULUTH, MN, 55807

Plan administrator’s name and address

Administrator’s EIN 463340706
Plan administrator’s name GOLDLEAF PARTNERS FIDUCIARY SERVICES
Plan administrator’s address 8009 34TH AVENUE SOUTH,, SUITE 320, MINNEAPOLIS, MN, 55425
Administrator’s telephone number 8668828442

Signature of

Role Plan administrator
Date 2021-07-26
Name of individual signing ERIC QUELLA
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2019 465013941 2020-07-24 NORTH SHORE GROUP HOLDINGS, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273671
Plan sponsor’s address 710 SOUTH 59TH AVENUE WEST, DULUTH, MN, 55807

Plan administrator’s name and address

Administrator’s EIN 463340706
Plan administrator’s name GOLDLEAF PARTNERS FIDUCIARY SERVICES
Plan administrator’s address 8009 34TH AVENUE SOUTH,, SUITE 320, MINNEAPOLIS, MN, 55425
Administrator’s telephone number 8668828442

Signature of

Role Plan administrator
Date 2020-07-24
Name of individual signing ERIC QUELLA
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2018 465013941 2019-07-20 NORTH SHORE GROUP HOLDINGS, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273671
Plan sponsor’s address 710 SOUTH 59TH AVENUE WEST, DULUTH, MN, 55807

Plan administrator’s name and address

Administrator’s EIN 463340706
Plan administrator’s name GOLDLEAF PARTNERS FIDUCIARY SERVICES
Plan administrator’s address 8009 34TH AVENUE SOUTH,, SUITE 320, MINNEAPOLIS, MN, 55425
Administrator’s telephone number 8668828442

Signature of

Role Plan administrator
Date 2019-07-20
Name of individual signing JESSICA MARSON
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2017 465013941 2018-09-19 NORTH SHORE GROUP HOLDINGS, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273282
Plan sponsor’s address 1420 LONDON ROAD, SUITE 204 LAKEWALK CENTER, DULUTH, MN, 55805

Signature of

Role Plan administrator
Date 2018-09-19
Name of individual signing MARY LARSON
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GROUP HOLDINGS 401(K) PLAN 2016 465013941 2017-07-31 NORTH SHORE GROUP HOLDINGS, INC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 541330
Sponsor’s telephone number 2187273282
Plan sponsor’s address 1420 LONDON ROAD, SUITE 204 LAKEWALK CENTER, DULUTH, MN, 55805

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing MARY LARSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jeff W Heller Chief Executive Officer 710 S 59TH AVE W, DULUTH, MN 55807–2181, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2017-12-27
Original Filing - Business Corporation (Domestic) (Business Name: North Shore Group Holdings, Inc.) 2014-02-12

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website