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  5. Collaborative Counseling, LLC

Collaborative Counseling, LLC

Company Details

Name: Collaborative Counseling, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 21 Dec 2011 (13 years ago)
Company Number: a30ae3c7-4a39-e111-aff2-001ec94ffe7f
File Number: 459070800027
Registered Office Address: 12918 63rd Ave N, Maple Grove, MN 55369, USA
Principal Executive Office Address: 12918 63RD AVE N, MAPLE GROVE, MN 55369–6001, USA
ZIP code: 55369
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLABORATIVE COUNSELING 401(K) PLAN 2023 454105154 2024-07-02 COLLABORATIVE COUNSELING LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621340
Sponsor’s telephone number 7632109966
Plan sponsor’s address 12918 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369
COLLABORATIVE COUNSELING 401(K) PLAN 2022 454105154 2023-07-27 COLLABORATIVE COUNSELING LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621340
Sponsor’s telephone number 7632109966
Plan sponsor’s address 12918 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369
COLLABORATIVE COUNSELING 401(K) PLAN 2021 454105154 2022-08-05 COLLABORATIVE COUNSELING LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621340
Sponsor’s telephone number 7632109966
Plan sponsor’s address 12918 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369
COLLABORATIVE COUNSELING 401(K) PLAN 2020 454105154 2021-07-07 COLLABORATIVE COUNSELING LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621340
Sponsor’s telephone number 7632109966
Plan sponsor’s address 12918 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing NAOMI DORIOTT LARSON
Valid signature Filed with authorized/valid electronic signature
COLLABORATIVE COUNSELING 401(K) PLAN 2019 454105154 2020-06-02 COLLABORATIVE COUNSELING LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621340
Sponsor’s telephone number 7632109966
Plan sponsor’s address 12918 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing NAOMI DORIOTT LARSON
Valid signature Filed with authorized/valid electronic signature
COLLABORATIVE COUNSELING 401(K) PLAN 2018 454105154 2019-08-13 COLLABORATIVE COUNSELING LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621340
Sponsor’s telephone number 7632109966
Plan sponsor’s address 12918 63RD AVENUE NORTH, MAPLE GROVE, MN, 55369

Signature of
Role Plan administrator
Date 2019-08-13
Name of individual signing NAOMI DORIOTT LARSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Naomi N Doriott Larson Manager 12918 63RD AVE N, MAPLE GROVE, MN 55369–6001, USA

Agent

Name Role
Naomi Doriott Larson Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2020-09-30
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Amendment - Limited Liability Company (Domestic) (Business Name: Collaborative Counseling, LLC) 2015-02-05
Original Filing - Limited Liability Company (Domestic) (Business Name: Collaborative Counseling & Psychology, LLC) 2011-12-21

Related by officers

Naomi Doriott Larson

Callisto Properties, LLC Collaborative Consultants LLC Camp Larson at Connors Lake, LLC

Related by address

12918 63rd Ave N, Maple Grove, MN 55369, USA

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12918 63RD AVE N, MAPLE GROVE, MN 55369–6001, USA

Bethany Kunkel PLLC Jaclyn Johnson LLC Moonstone Wellbeing LLC Cardinal Counseling LLC Philo Counseling LLC

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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