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  5. McIntosh Senior Living

McIntosh Senior Living

Company Details

Name: McIntosh Senior Living
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 May 2009 (16 years ago)
Company Number: a405a61b-94d4-e011-a886-001ec94ffe7f
File Number: 3357490-2
Registered Office Address: 600 Riverside Ave NE, McIntosh, MN 56556, USA
ZIP code: 56556
County: Polk County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCINTOSH SENIOR LIVING 401(K) 2023 270305180 2024-07-09 MCINTOSH SENIOR LIVING 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2022 270305180 2023-07-10 MCINTOSH SENIOR LIVING 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2021 270305180 2022-05-03 MCINTOSH SENIOR LIVING 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2022-05-03
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2020 270305180 2021-04-06 MCINTOSH SENIOR LIVING 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2021-04-06
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2019 270305180 2020-04-13 MCINTOSH SENIOR LIVING 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2020-04-13
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2018 270305180 2019-04-25 MCINTOSH SENIOR LIVING 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2019-04-25
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2017 270305180 2018-04-26 MCINTOSH SENIOR LIVING 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2018-04-26
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2016 270305180 2017-07-12 MCINTOSH SENIOR LIVING 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE., MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2015 270305180 2016-08-04 MCINTOSH SENIOR LIVING 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185682715
Plan sponsor’s address 600 RIVERSIDE AVE NE, MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2016-08-04
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-04
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature
MCINTOSH SENIOR LIVING 401(K) 2014 270305180 2015-07-17 MCINTOSH SENIOR LIVING 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-19
Business code 623000
Sponsor’s telephone number 2185632715
Plan sponsor’s address 600 RIVERSIDE AVE NE, MCINTOSH, MN, 56556

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing SHARLENE KNUTSON
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Virgil Lerfald President 600 RIVERSIDE AVE NE, MCINTOSH, MN 56556–5750, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2021-11-05
Annual Reinstatement - Nonprofit Corporation (Domestic) 2013-11-18
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2013-02-27
Original Filing - Nonprofit Corporation (Domestic) (Business Name: McIntosh Senior Living) 2009-05-29

Related by officers

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Related by address

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Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website

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