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Mapleton Community Home

Company Details

Name: Mapleton Community Home
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 27 Jun 1962 (62 years ago)
Company Number: 5c6e5e74-9ed4-e011-a886-001ec94ffe7f
File Number: E-241
Registered Office Address: 301 Troendle Str, Mapleton, MN 56065, USA
ZIP code: 56065
County: Blue Earth County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN 2023 416031905 2024-07-16 MAPLETON COMMUNITY HOME 68
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN 2023 416031905 2024-07-16 MAPLETON COMMUNITY HOME 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN 2022 416031905 2023-10-10 MAPLETON COMMUNITY HOME 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN 2022 416031905 2023-10-10 MAPLETON COMMUNITY HOME 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN 2022 416031905 2023-09-29 MAPLETON COMMUNITY HOME 63
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2023-09-29
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN 2021 416031905 2022-10-05 MAPLETON COMMUNITY HOME 72
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2022-10-05
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN 2021 416031905 2022-10-05 MAPLETON COMMUNITY HOME 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2022-10-05
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN 2021 416031905 2022-10-05 MAPLETON COMMUNITY HOME 62
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2022-10-05
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME EMPLOYEES PENSION PLAN 2020 416031905 2021-10-14 MAPLETON COMMUNITY HOME 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature
MAPLETON COMMUNITY HOME TAX DEFERRED ANNUITY PLAN 2020 416031905 2021-10-14 MAPLETON COMMUNITY HOME 72
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 623000
Sponsor’s telephone number 5074200053
Plan sponsor’s address 301 TROENDLE ST, MAPLETON, MN, 560650337

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing ROXANNE GOSSON
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
RoxAnne Gosson President 301 TROENDLE STREET SW, MAPLETON, MN 56065, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2007-10-12
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2005-09-20
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-03-28
Amendment - Nonprofit Corporation (Domestic) 1969-08-20
Original Filing - Nonprofit Corporation (Domestic) 1962-06-27
Nonprofit Corporation (Domestic) Business Name (Business Name: Mapleton Community Home) 1962-06-27

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website