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  5. BOUNDARY WATERS CARE CENTER

BOUNDARY WATERS CARE CENTER

Company Details

Name: BOUNDARY WATERS CARE CENTER
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 Jun 2010 (14 years ago)
Company Number: 4cd06e1e-96d4-e011-a886-001ec94ffe7f
File Number: 3894700-2
Registered Office Address: 1 E Chapman Str, PO Box 240, Ely, MN 55731, USA
ZIP code: 55731
County: Lake County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2023 273111617 2024-05-23 BOUNDARY WATERS CARE CENTER 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658733
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2024-05-23
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-23
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2022 273111617 2023-04-19 BOUNDARY WATERS CARE CENTER 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658733
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2023-04-19
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-19
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2021 273111617 2022-07-13 BOUNDARY WATERS CARE CENTER 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658733
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2020 273111617 2021-06-16 BOUNDARY WATERS CARE CENTER 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658733
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-16
Name of individual signing SARAH SPATE
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2019 273111617 2020-07-02 BOUNDARY WATERS CARE CENTER 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658044
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing JAMIE BOES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-01
Name of individual signing JAMIE BOES
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2018 273111617 2019-07-11 BOUNDARY WATERS CARE CENTER 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658044
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing JAMIE BOES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-11
Name of individual signing JAMIE BOES
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2017 273111617 2018-07-20 BOUNDARY WATERS CARE CENTER 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658044
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing JAMIE BOES
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2016 273111617 2017-07-12 BOUNDARY WATERS CARE CENTER 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658044
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing JAMIE BOES
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2015 273111617 2016-06-23 BOUNDARY WATERS CARE CENTER 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658044
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2016-06-23
Name of individual signing SHELLEY SOLBERG
Valid signature Filed with authorized/valid electronic signature
BOUNDARY WATERS CARE CENTER 401(K) PLAN 2014 273111617 2015-07-23 BOUNDARY WATERS CARE CENTER 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 2183658044
Plan sponsor’s address 200 WEST CONAN STREET, ELY, MN, 55731

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing SHELLEY SOLBERG
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Roger Pekuri President 200 W Conan Str, Ely, MN 55731, USA

Agent

Name Role
Kelly M Klun Agent

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2012-11-08
Registered Office - Nonprofit Corporation (Domestic) 2012-11-08
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2012-08-06
Original Filing - Nonprofit Corporation (Domestic) (Business Name: BOUNDARY WATERS CARE CENTER) 2010-06-29

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Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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