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Andrews Home Care Services LLC

Company Details

Name: Andrews Home Care Services LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 24 Sep 2009 (15 years ago)
Company Number: 452e0899-94d4-e011-a886-001ec94ffe7f
File Number: 3503397-2
Registered Office Address: 318 3rd Ave, Proctor, MN 55810, USA
Principal Executive Office Address: 318 3RD AVE, PROCTOR, MN 55810–1618, USA
ZIP code: 55810
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDREWS HOME CARE SERVICES 2023 562444385 2024-09-04 ANDREWS HOME CARE SERVICES, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 318 3RD AVE, PROCTOR, MN, 55810

Signature of

Role Plan administrator
Date 2024-09-04
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2022 562444385 2023-05-25 ANDREWS HOME CARE SERVICES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 318 3RD AVE, PROCTOR, MN, 55810

Signature of

Role Plan administrator
Date 2023-05-25
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2021 562444385 2022-07-13 ANDREWS HOME CARE SERVICES, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 318 3RD AVE, PROCTOR, MN, 55810

Signature of

Role Plan administrator
Date 2022-07-13
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2020 562444385 2021-07-12 ANDREWS HOME CARE SERVICES 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 318 3RD AVE, PROCTOR, MN, 55810

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing ANNE MERCIER
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2019 562444385 2020-06-25 ANDREWS HOME CARE SERVICES 17
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 315 EAST CENTRAL ENTRANCE, SUITE 3, DULUTH, MN, 55811

Signature of

Role Plan administrator
Date 2020-06-25
Name of individual signing AMERCIER4161
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2019 562444385 2020-06-30 ANDREWS HOME CARE SERVICES 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 315 EAST CENTRAL ENTRANCE, SUITE 3, DULUTH, MN, 55811

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing ANNE MERCIER
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2018 562444385 2019-06-03 ANDREWS HOME CARE SERVICES 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 315 EAST CENTRAL ENTRANCE, SUITE 3, DULUTH, MN, 55811

Signature of

Role Plan administrator
Date 2019-06-03
Name of individual signing ANNE MERCIER
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2017 562444385 2018-06-06 ANDREWS HOME CARE SERVICES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 315 EAST CENTRAL ENTRANCE, SUITE 3, DULUTH, MN, 55811

Signature of

Role Plan administrator
Date 2018-06-06
Name of individual signing ANNE MERCIER
Valid signature Filed with authorized/valid electronic signature
ANDREWS HOME CARE SERVICES 2016 562444385 2017-10-02 ANDREWS HOME CARE SERVICES 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 2187278810
Plan sponsor’s address 315 EAST CENTRAL ENTRANCE SUITE3, DULUTH, MN, 55811

Signature of

Role Plan administrator
Date 2017-10-02
Name of individual signing ANNE MERCIER
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Mary Andrews Manager 318 3RD AVE, PROCTOR, MN 55810–1618, USA

Agent

Name Role
Mary Andrews Agent

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2019-06-21
Administrative Termination - Limited Liability Company (Domestic) 2019-03-18
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2010-06-15
Original Filing - Limited Liability Company (Domestic) 2009-09-24
Limited Liability Company (Domestic) Business Name (Business Name: Andrews Home Care Services LLC) 2009-09-24

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website