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  5. Luther Memorial Home

Luther Memorial Home

Company Details

Name: Luther Memorial Home
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 18 Oct 1955 (69 years ago)
Company Number: 42d6d642-aed4-e011-a886-001ec94ffe7f
File Number: B-371
Registered Office Address: 221 6th Str SW, Madelia, MN 56062, USA
ZIP code: 56062
County: Watonwan County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LUTHER MEMORIAL HOME 401(K) PLAN 2018 410826784 2020-05-21 LUTHER MEMORIAL HOME 60
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s DBA name LIVING MEADOWS AT LUTHER-MADELIA
Plan sponsor’s address 503 BENZEL AVE SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing KARI BYRO
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2018 410826784 2020-05-26 LUTHER MEMORIAL HOME 60
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s DBA name LIVING MEADOWS AT LUTHER-MADELIA
Plan sponsor’s address 503 BENZEL AVE SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2020-05-26
Name of individual signing KARI BYRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-26
Name of individual signing KARI L BYRO
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2017 410826784 2019-09-19 LUTHER MEMORIAL HOME 59
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 503 BENZEL AVE SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing KARI BYRO
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2017 410826784 2019-09-19 LUTHER MEMORIAL HOME 59
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 503 BENZEL AVE SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing KARI BYRO
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2016 410826784 2018-01-24 LUTHER MEMORIAL HOME 64
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 221 6TH ST SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2018-01-24
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-24
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2015 410826784 2017-04-10 LUTHER MEMORIAL HOME 63
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 221 6TH ST SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2017-04-10
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-10
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2014 410826784 2016-03-22 LUTHER MEMORIAL HOME 61
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 221 6TH ST SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2016-03-22
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-22
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2013 410826784 2015-03-02 LUTHER MEMORIAL HOME 65
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 221 6TH ST SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2015-03-02
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2012 410826784 2014-03-24 LUTHER MEMORIAL HOME 69
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 221 6TH ST SW, MADELIA, MN, 56062

Signature of
Role Plan administrator
Date 2014-03-24
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-24
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature
LUTHER MEMORIAL HOME 401(K) PLAN 2011 410826784 2012-10-29 LUTHER MEMORIAL HOME 71
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-01-01
Business code 623000
Sponsor’s telephone number 5076423271
Plan sponsor’s address 221 6TH ST SW, MADELIA, MN, 56062

Plan administrator’s name and address
Administrator’s EIN 410826784
Plan administrator’s name LUTHER MEMORIAL HOME
Plan administrator’s address 221 6TH ST SW, MADELIA, MN, 56062
Administrator’s telephone number 5076423271

Signature of
Role Plan administrator
Date 2012-10-29
Name of individual signing DAWN CAMPBELL
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Dennis Swenson President c/o Luther Memorial Home, 221 6th Street SW, Madelia, MN 56062, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2020-08-13
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2020-02-19
Nonprofit Corporation (Domestic) Restated Articles 1995-04-03
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1959-06-08
Amendment - Nonprofit Corporation (Domestic) 1956-04-06
Original Filing - Nonprofit Corporation (Domestic) 1955-10-18
Nonprofit Corporation (Domestic) Business Name (Business Name: Luther Memorial Home) 1955-10-18

Related by officers

Dennis Swenson

Luther Memorial Home Assisted Living

Related by address

221 6th Str SW, Madelia, MN 56062, USA

Luther Memorial Home Founders Fund

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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