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Lucky Home Health Care LLC

Company Details

Name: Lucky Home Health Care LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 22 Aug 2016 (8 years ago)
Company Number: 240d0225-aa68-e611-816e-00155d01c56d
File Number: 899404400039
Registered Office Address: 2121 Nicollet Ave S #203, Mpls, MN 55404, USA
Principal Executive Office Address: 2121 Nicollet Ave #203, Minneapolis, MN 55404–5540, USA
ZIP code: 55404
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LUCKY HOME HEALTH CARE LLC 401(K) P/S PLAN 2023 813638931 2024-05-23 LUCKY HOME HEALTH CARE LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 9525940532
Plan sponsor’s address 3763 112TH LN NE, MINNEAPOLIS, MN, 55449

Signature of

Role Plan administrator
Date 2024-05-23
Name of individual signing MOHAMED E IDLE
Valid signature Filed with authorized/valid electronic signature
LUCKY HOME HEALTH CARE LLC 401(K) P/S PLAN 2022 813638931 2023-04-03 LUCKY HOME HEALTH CARE LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 9525940532
Plan sponsor’s address 3763 112TH LN NE, MINNEAPOLIS, MN, 55449

Plan administrator’s name and address

Administrator’s EIN 813638931
Plan administrator’s name LUCKY HOME HEALTH CARE LLC
Plan administrator’s address 3763 112TH LN NE, MINNEAPOLIS, MN, 55449
Administrator’s telephone number 9525940532

Signature of

Role Plan administrator
Date 2023-04-03
Name of individual signing MOHAMED IDLE
Valid signature Filed with authorized/valid electronic signature
LUCKY HOME HEALTH CARE LLC 401(K) P/S PLAN 2021 813638931 2022-05-16 LUCKY HOME HEALTH CARE LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 9525940532
Plan sponsor’s address 3763 112TH LN NE, MINNEAPOLIS, MN, 55449

Plan administrator’s name and address

Administrator’s EIN 813638931
Plan administrator’s name LUCKY HOME HEALTH CARE LLC
Plan administrator’s address 3763 112TH LN NE, MINNEAPOLIS, MN, 55449
Administrator’s telephone number 9525940532

Signature of

Role Plan administrator
Date 2022-05-16
Name of individual signing MOHAMED IDLE
Valid signature Filed with authorized/valid electronic signature
LUCKY HOME HEALTH CARE LLC 401(K) P/S PLAN 2020 813638931 2021-08-03 LUCKY HOME HEALTH CARE LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621610
Sponsor’s telephone number 9525940532
Plan sponsor’s address 3763 112TH LN NE, MINNEAPOLIS, MN, 55449

Plan administrator’s name and address

Administrator’s EIN 813638931
Plan administrator’s name LUCKY HOME HEALTH CARE LLC
Plan administrator’s address 3763 112TH LN NE, MINNEAPOLIS, MN, 55449
Administrator’s telephone number 9525940532

Signature of

Role Plan administrator
Date 2021-08-03
Name of individual signing MOHAMED IDLE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Mohamed Elmi Idle Manager 2121 Nicollet Ave #203, Minneapolis, MN 55404–5540, USA

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2018-07-25
Administrative Termination - Limited Liability Company (Domestic) 2018-03-16
Original Filing - Limited Liability Company (Domestic) (Business Name: Lucky Home Health Care LLC) 2016-08-22

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website