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  5. Premier Health Services, PLLC

Premier Health Services, PLLC

Company Details

Name: Premier Health Services, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 11 Jun 2010 (15 years ago)
Company Number: 85068906-96d4-e011-a886-001ec94ffe7f
File Number: 3875953-2
Registered Office Address: 8577 Columbine Road, Eden Prairie, MN 55344, USA
Principal Executive Office Address: 8577 Columbine Rd, Eden Prairie, MN 55344, USA
ZIP code: 55344
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER HEALTH SERVICES PLLC SAFE HARBOR 401(K) PLAN 2021 272836733 2022-09-29 PREMIER HEALTH SERVICES, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 9524790043
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-01
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTH SERVICES PLLC SAFE HARBOR 401(K) PLAN 2020 272836733 2021-09-27 PREMIER HEALTH SERVICES, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 9524790043
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2021-09-07
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-07
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTH SERVICES PLLC SAFE HARBOR 401(K) PLAN 2019 272836733 2020-09-09 PREMIER HEALTH SERVICES, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 9524790043
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRIE, MN, 55344

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTH SERVICES PLLC 2018 272836733 2019-10-08 PREMIER HEALTH SERVICES PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 9524790043
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRE, MN, 55344

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTH SERVICES PLLC 2017 272836733 2018-07-26 PREMIER HEALTH SERVICES PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 9524790043
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRE, MN, 55344

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTH SERVICES PLLC SAFE HARBOR 401(K) PLAN 2016 272836733 2017-10-05 PREMIER HEALTH SERVICES PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7632284461
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRIE, MN, 55344
PREMIER HEALTH SERVICES PLLC SAFE HARBOR 401(K) PLAN 2015 272836733 2016-10-03 PREMIER HEALTH SERVICES PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 7632284461
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRIE, MN, 55344
PREMIER HEALTH SERVICES PLLC 401K PLAN 2014 272836733 2015-10-08 PREMIER HEALTH SERVICES PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 9524790043
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRIE, MN, 553449001

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature
PREMIER HEALTH SERVICES PLLC 401(K) PLAN 2013 272836733 2014-08-07 PREMIER HEALTH SERVICES PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 9524790043
Plan sponsor’s address 8577 COLUMBINE ROAD, EDEN PRAIRIE, MN, 553449001

Signature of
Role Plan administrator
Date 2014-08-07
Name of individual signing HOLLY WESTBROCK
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Katie Clare Manager 8577 Columbine Road, Eden Prairie, MN 55344, USA

Filing

Filing Name Filing date
Administrative Termination - Limited Liability Company (Domestic) 2024-02-27
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2010-09-23
Original Filing - Limited Liability Company (Domestic) 2010-06-11
Limited Liability Company (Domestic) Business Name (Business Name: Premier Health Services, PLLC) 2010-06-11

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Related by address

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Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website

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