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Minnesota Hospice LLC

Company Details

Name: Minnesota Hospice LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 26 Aug 2016 (8 years ago)
Company Number: 4f287be9-bb6b-e611-816e-00155d01c56d
File Number: 899981800023
Registered Office Address: 1260 Yankee Doodle Road, Eagan, MN 55121, USA
Principal Executive Office Address: 17645 JUNIPER PATH STE 155, LAKEVILLE, MN 55044–7577, USA
ZIP code: 55121
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINNESOTA HOSPICE LLC 401K PLAN 2023 813682685 2024-05-24 MINNESOTA HOSPICE LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 6123855555
Plan sponsor’s address 17645 JUNIPER PATH STE 155, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2024-05-24
Name of individual signing MITZI DILLINGHAM
Valid signature Filed with authorized/valid electronic signature
MINNESOTA HOSPICE LLC 401K PLAN 2022 813682685 2023-06-16 MINNESOTA HOSPICE LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 6123855555
Plan sponsor’s address 17645 JUNIPER PATH STE 155, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2023-06-16
Name of individual signing MITZI DILLINGHAM
Valid signature Filed with authorized/valid electronic signature
MINNESOTA HOSPICE LLC 401K PLAN 2021 813682685 2022-05-31 MINNESOTA HOSPICE LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621610
Sponsor’s telephone number 9528981022
Plan sponsor’s address 17645 JUNIPER PATH STE 155, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2022-05-31
Name of individual signing KEN HAGLIND
Valid signature Filed with authorized/valid electronic signature
MINNESOTA HOSPICE LLC 401K PLAN 2020 813682685 2021-07-29 MINNESOTA HOSPICE LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 6123855555
Plan sponsor’s address 17645 JUNIPER PATH STE 155, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing MITZI DILLINGHAM
Valid signature Filed with authorized/valid electronic signature
MINNESOTA HOSPICE LLC 401K PLAN 2019 813682685 2020-06-24 MINNESOTA HOSPICE LLC 17
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 9528981022
Plan sponsor’s address 17645 JUNIPER PATH STE 155, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2020-06-24
Name of individual signing KHAGLIND2239
Valid signature Filed with authorized/valid electronic signature
MINNESOTA HOSPICE LLC 401K PLAN 2019 813682685 2020-06-30 MINNESOTA HOSPICE LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 9528981022
Plan sponsor’s address 17645 JUNIPER PATH STE 155, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing KEN HAGLIND
Valid signature Filed with authorized/valid electronic signature
MINNESOTA HOSPICE LLC 401K PLAN 2018 813682685 2019-06-24 MINNESOTA HOSPICE LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621399
Sponsor’s telephone number 6123855555
Plan sponsor’s address 17645 JUNIPER PATH STE 155, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2019-06-24
Name of individual signing SHANNON SHERMAN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
KENNETH N HAGLIND Manager 17645 JUNIPER PATH STE 155, LAKEVILLE, MN 55044–7577, USA

Filing

Filing Name Filing date
Original Filing - Limited Liability Company (Domestic) (Business Name: Minnesota Hospice LLC)Professional Service - Medicine & Surgery 2016-08-26

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website