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  5. Pioneer Memorial Care Center

Pioneer Memorial Care Center

Company Details

Name: Pioneer Memorial Care Center
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Sep 1949 (75 years ago)
Company Number: 3c3909ee-b2d4-e011-a886-001ec94ffe7f
File Number: 5374-NP
Registered Office Address: 23028 347th Str SE, Erskine, MN 56535–9466, USA
ZIP code: 56535
County: Polk County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2022 410713918 2023-09-27 PIONEER MEMORIAL CARE CENTER 83
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2023-09-27
Name of individual signing LISA WALTERS
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2022 410713918 2023-10-13 PIONEER MEMORIAL CARE CENTER 83
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing LISA LOWE
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2021 410713918 2022-10-04 PIONEER MEMORIAL CARE CENTER 88
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing AUSTIN VERSTEEG
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2020 410713918 2021-10-15 PIONEER MEMORIAL CARE CENTER 87
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing CHUCK NESS
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2019 410713918 2020-10-15 PIONEER MEMORIAL CARE CENTER 89
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing KORY JACOBSON
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2018 410713918 2019-07-31 PIONEER MEMORIAL CARE CENTER 90
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing DOMNIKA HANSON
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2017 410713918 2018-10-11 PIONEER MEMORIAL CARE CENTER 100
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing JUDY BERNAT
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER 2016 410713918 2017-10-06 PIONEER MEMORIAL CARE CENTER 103
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing GARY HJELMSTAD
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER 2015 410713918 2016-10-17 PIONEER MEMORIAL CARE CENTER 88
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing TYLER CHAMP
Valid signature Filed with authorized/valid electronic signature
PIONEER MEMORIAL CARE CENTER EMPLOYEES PENSION PLAN 2014 410713918 2015-10-13 PIONEER MEMORIAL CARE CENTER 93
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 622000
Sponsor’s telephone number 2186872365
Plan sponsor’s address 23028 347TH ST. SE, ERSKINE, MN, 56535

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing TYLER CHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing TYLER CHAMP
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Nancy Jenson President 20645 Pine Ridge Circle SE, ERSKINE, MN 56535, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2007-09-19
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2005-09-20
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-03-28
Consent to Use of Name - Nonprofit Corporation (Domestic) 1990-02-07
Nonprofit Corporation (Domestic) Business Name (Business Name: Pioneer Memeorial Care Center) 1981-11-03
Amendment - Nonprofit Corporation (Domestic) 1964-08-18
Original Filing - Nonprofit Corporation (Domestic) (Business Name: Pioneer Memorial Care Center) 1949-09-16
Nonprofit Corporation (Domestic) Business Name (Business Name: Pioneer Memorial Home of Red River Valley) 1949-09-16

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Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website

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