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  5. Eldercare of Minnesota, Inc.

Eldercare of Minnesota, Inc.

Company Details

Name: Eldercare of Minnesota, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Inactive
Date formed: 03 Nov 1997 (27 years ago)
Company Number: a8f72f98-9ed4-e011-a886-001ec94ffe7f
File Number: 1Q-538
Registered Office Address: 19 Airport Drv N, Dodge Center, MN 55927, USA
ZIP code: 55927
County: Dodge County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELDERCARE OF MINNESOTA INC 2015 203549819 2016-07-27 ELDERCARE OF MINNESOTA INC 171
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-12-01
Business code 623000
Sponsor’s telephone number 3206314104
Plan sponsor’s mailing address 920 4TH ST SE, LITTLE FALLS, MN, 563453540
Plan sponsor’s address 920 4TH ST SE, LITTLE FALLS, MN, 563453540

Number of participants as of the end of the plan year
Active participants 165

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
ELDERCARE OF MINNESOTA INC 2014 203549819 2015-08-02 ELDERCARE OF MINNESOTA INC 180
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-12-01
Business code 623000
Sponsor’s telephone number 3206314104
Plan sponsor’s mailing address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Plan sponsor’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345

Number of participants as of the end of the plan year
Active participants 171

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
ELDERCARE OF MINNESOTA INC MEDICAL BENEFITS PLAN 2013 203549819 2014-07-31 ELDERCARE OF MINNESOTA INC 178
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-12-01
Business code 623000
Sponsor’s telephone number 3206314104
Plan sponsor’s mailing address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Plan sponsor’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345

Number of participants as of the end of the plan year
Active participants 180

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
ELDERCARE OF MINNESOTA INC MEDICAL BENEFITS PLAN 2012 203549819 2013-07-30 ELDERCARE OF MINNESOTA INC 197
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-12-01
Business code 623000
Sponsor’s telephone number 3206314104
Plan sponsor’s mailing address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Plan sponsor’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345

Number of participants as of the end of the plan year
Active participants 178

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
ELDERCARE OF MINNESOTA INC MEDICAL BENEFITS PLAN 2011 203549819 2012-07-30 ELDERCARE OF MINNESOTA INC 182
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-12-01
Business code 623000
Sponsor’s telephone number 3206314104
Plan sponsor’s mailing address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Plan sponsor’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345

Plan administrator’s name and address
Administrator’s EIN 203549819
Plan administrator’s name ELDERCARE OF MINNESOTA INC
Plan administrator’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Administrator’s telephone number 3206314104

Number of participants as of the end of the plan year
Active participants 197

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
ELDERCARE OF MINNESOTA EMPLOYEES' RETIREMENT PLAN 2010 203549819 2011-10-14 ELDERCARE OF MINNESOTA 803
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-05-29
Business code 623000
Sponsor’s telephone number 3206314180
Plan sponsor’s mailing address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Plan sponsor’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345

Plan administrator’s name and address
Administrator’s EIN 203549819
Plan administrator’s name ELDERCARE OF MINNESOTA
Plan administrator’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Administrator’s telephone number 3206314180

Number of participants as of the end of the plan year
Active participants 813
Other retired or separated participants entitled to future benefits 57
Number of participants with account balances as of the end of the plan year 339
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
ELDERCARE OF MINNESOTA INC MEDICAL BENEFITS PLAN 2010 203549819 2011-09-12 ELDERCARE OF MINNESOTA INC 203
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-12-01
Business code 623000
Sponsor’s telephone number 3206314104
Plan sponsor’s mailing address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Plan sponsor’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345

Plan administrator’s name and address
Administrator’s EIN 203549819
Plan administrator’s name ELDERCARE OF MINNESOTA INC
Plan administrator’s address 920 4TH ST SE, LITTLE FALLS, MN, 56345
Administrator’s telephone number 3206314104

Number of participants as of the end of the plan year
Active participants 182

Signature of
Role Plan administrator
Date 2011-09-12
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature
ELDERCARE OF MINNESOTA, LLC MEDICAL BENEFITS PLAN 2009 203549819 2010-07-28 ELDERCARE OF MINNESOTA INC 205
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-12-01
Business code 623000
Sponsor’s telephone number 3206314104
Plan sponsor’s mailing address 920 4TH STREET SOUTHEAST, LITTLE FALLS, MN, 56345
Plan sponsor’s address 920 4TH STREET SOUTHEAST, LITTLE FALLS, MN, 56345

Plan administrator’s name and address
Administrator’s EIN 203549819
Plan administrator’s name ELDERCARE OF MINNESOTA INC
Plan administrator’s address 920 4TH STREET SOUTHEAST, LITTLE FALLS, MN, 56345
Administrator’s telephone number 3206314104

Number of participants as of the end of the plan year
Active participants 203
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

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing TIM MATROS
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Garwin McNeilus President

Filing

Filing Name Filing date
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2002-04-17
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1998-08-13
Original Filing - Nonprofit Corporation (Domestic) 1997-11-03
Nonprofit Corporation (Domestic) Business Name (Business Name: Eldercare of Minnesota, Inc.) 1997-11-03

Related by officers

Garwin McNeilus

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Related by address

19 Airport Drv N, Dodge Center, MN 55927, USA

LTM OFFICES

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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