Search icon

Whispering Pines Assisted Living

Company Details

Name: Whispering Pines Assisted Living
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 08 Mar 2023 (2 years ago)
Company Number: 42fb14e9-f6bd-ed11-9069-00155d01c614
File Number: 1379265800026
Principal Place of Business Address: 830 West Main Street, Anoka, MN 55303, USA
ZIP code: 55303
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WHISPERING PINES ASSISTED LIVING 401(K) PLAN 2023 421620827 2024-07-01 WHISPERING PINES ASSISTED LIVING 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7637128363
Plan sponsor’s address 830 WEST MAIN STREET, ANOKA, MN, 55303

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing LAURA BENGTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-01
Name of individual signing LAURA BENGTSON
Valid signature Filed with authorized/valid electronic signature
WHISPERING PINES ASSISTED LIVING 401(K) PLAN 2022 421620827 2023-06-05 WHISPERING PINES ASSISTED LIVING 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7637128363
Plan sponsor’s address 830 WEST MAIN STREET, ANOKA, MN, 55303

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing LAURA BENGTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-05
Name of individual signing LAURA BENGTSON
Valid signature Filed with authorized/valid electronic signature
WHISPERING PINES ASSISTED LIVING 401(K) PLAN 2021 421620827 2022-09-12 WHISPERING PINES ASSISTED LIVING 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7637128363
Plan sponsor’s address 830 WEST MAIN STREET, ANOKA, MN, 55303

Signature of

Role Plan administrator
Date 2022-09-12
Name of individual signing BREANNE ENGBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-12
Name of individual signing BREANNE ENGBERG
Valid signature Filed with authorized/valid electronic signature
WHISPERING PINES ASSISTED LIVING 401(K) PLAN 2020 421620827 2021-09-22 WHISPERING PINES ASSISTED LIVING 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7637128363
Plan sponsor’s address 830 WEST MAIN STREET, ANOKA, MN, 55303

Signature of

Role Plan administrator
Date 2021-09-22
Name of individual signing BREANNE ENGBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing BREANNE ENGBERG
Valid signature Filed with authorized/valid electronic signature
WHISPERING PINES ASSISTED LIVING 401(K) PLAN 2019 421620827 2020-09-10 WHISPERING PINES ASSISTED LIVING 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7637128363
Plan sponsor’s address 830 WEST MAIN STREET, ANOKA, MN, 55303

Signature of

Role Plan administrator
Date 2020-09-10
Name of individual signing BREANNE ENGBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-10
Name of individual signing BREANNE ENGBERG
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
31521 172nd Street, LLC Aplicant 830 West Main Street, Anoka, MN 55303
12778 183rd Court NW, LLC Aplicant 830 West Main Street, Anoka, MN 55303
2153 SEVENTH AVENUE NORTH, LLC Aplicant 830 West Main Street, Anoka, MN 55303
2171 SEVENTH AVENUE NORTH, LLC Aplicant 2171 7th Ave N, Anoka, MN 55303
2201 SEVENTH AVENUE NORTH, LLC Aplicant 2201 7th Ave N, Anoka, MN 55303
2823 SEVENTH AVENUE NORTH, LLC Aplicant 2823 7th Ave N, Anoka, MN 55303
2918 SEVENTH AVENUE NORTH, LLC Aplicant 830 West Main Street, Anoka, MN 55303
701-707 POLK STREET, LLC Aplicant 701-707 Polk Str, Anoka, MN 55303
16770 WREN STREET NW, LLC Aplicant 830 West Main Street, Anoka, MN 55303
18660 Simonet Drive NW LLC Aplicant 830 West Main Street, Anoka, MN 55303

Filing

Filing Name Filing date
Amendment - Assumed Name 2023-03-16
Original Filing - Assumed Name (Business Name: Whispering Pines Assisted Living) 2023-03-08

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website