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Northeast Residence, Inc.

Company Details

Name: Northeast Residence, Inc.
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 03 Jan 2023 (2 years ago)
Company Number: 51565560-6b8b-ed11-9066-00155d01c614
File Number: 1363281600025
Principal Place of Business Address: 2539 County Road E East, White Bear Lake, MN 55110, USA
ZIP code: 55110
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST RESIDENCE INC LIFE AND LTD 2015 237309993 2017-06-09 NORTHEAST RESIDENCE INC 125
Three-digit plan number (PN) 502
Effective date of plan 2015-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 LITTLE CANADA RD E, LITTLE CANADA, MN, 551171629
Plan sponsor’s address 410 LITTLE CANADA RD E, LITTLE CANADA, MN, 551171629

Number of participants as of the end of the plan year

Active participants 114

Signature of

Role Plan administrator
Date 2017-06-09
Name of individual signing MARY MILLER
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC 2015 237309993 2017-06-09 NORTHEAST RESIDENCE INC 114
Three-digit plan number (PN) 503
Effective date of plan 2015-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 LITTLE CANADA RD E, LITTLE CANADA, MN, 551171629
Plan sponsor’s address 410 LITTLE CANADA RD E, LITTLE CANADA, MN, 551171629

Number of participants as of the end of the plan year

Active participants 101

Signature of

Role Plan administrator
Date 2017-06-09
Name of individual signing MARY MILLER
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC HEALTH PLAM 2015 237309993 2016-04-28 NORTHEAST RESIDENCE INC 69
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 LITTLE CANADA RD E, LITTLE CANADA, MN, 551171629
Plan sponsor’s address 410 LITTLE CANADA RD E, LITTLE CANADA, MN, 551171629

Number of participants as of the end of the plan year

Active participants 71
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2016-04-28
Name of individual signing NORA COGNETTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-28
Name of individual signing NORA COGNETTA
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC LIFE AD&D AND LTD PLAN 2014 237309993 2015-12-23 NORTHEAST RESIDENCE INC. 113
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 E LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Plan sponsor’s address 410 E LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117

Number of participants as of the end of the plan year

Active participants 125
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-12-23
Name of individual signing NORA COGNETTA
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC DENTAL PLAN 2014 237309993 2015-12-07 NORTHEAST RESIDENCE INC 104
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Plan sponsor’s address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117

Number of participants as of the end of the plan year

Active participants 116
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2015-12-07
Name of individual signing NORA COGNETTA
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC HEALTH PLAN 2014 237309993 2015-06-26 NORTHEAST RESIDENCE INC 57
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 E LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Plan sponsor’s address 410 E LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117

Number of participants as of the end of the plan year

Active participants 67
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing NORA COGNETTA
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC DENTAL PLAN 2013 237309993 2014-12-11 NORTHEAST RESIDENCE INC 104
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Plan sponsor’s address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117

Number of participants as of the end of the plan year

Active participants 104
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2014-12-11
Name of individual signing NORA COGNETTA
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC LIFE AD&D AND LTD PLAN 2013 237309993 2014-12-29 NORTHEAST RESIDENCE INC 117
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Plan sponsor’s address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117

Number of participants as of the end of the plan year

Active participants 113

Signature of

Role Plan administrator
Date 2014-12-29
Name of individual signing NORA COGNETTA
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC LIFE AD&D AND LTD PLAN 2012 237309993 2014-05-30 NORTHEAST RESIDENCE INC 102
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Plan sponsor’s address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117

Number of participants as of the end of the plan year

Active participants 116
Retired or separated participants receiving benefits 1

Signature of

Role Plan administrator
Date 2014-05-30
Name of individual signing DEBRA LEWANDOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-30
Name of individual signing DEBRA LEWANDOWSKI
Valid signature Filed with authorized/valid electronic signature
NORTHEAST RESIDENCE INC LIFE AD&D AND LTD PLAN 2011 237309993 2013-02-15 NORTHEAST RESIDENCE, INC. 115
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1999-10-01
Business code 623000
Sponsor’s telephone number 6517650217
Plan sponsor’s mailing address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Plan sponsor’s address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117

Plan administrator’s name and address

Administrator’s EIN 237309993
Plan administrator’s name NORTHEAST RESIDENCE, INC.
Plan administrator’s address 410 EAST LITTLE CANADA ROAD, LITTLE CANADA, MN, 55117
Administrator’s telephone number 6517650217

Number of participants as of the end of the plan year

Active participants 102

Signature of

Role Plan administrator
Date 2013-02-15
Name of individual signing DEBRA LEWANDOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-15
Name of individual signing DEBRA LEWANDOWSKI
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Hammer Residences, Inc. Aplicant 1909 E. Wayzata Blvd, Wayzata, MN 55391

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Northeast Residence, Inc.) 2023-01-03

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website