| Name: | Warren Community Hospital, Inc. |
| Jurisdiction: | Minnesota |
| Legal type: | Nonprofit Corporation (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 14 Aug 1980 (44 years ago) |
| Company Number: | b5d13f6f-b7d4-e011-a886-001ec94ffe7f |
| File Number: | S-995 |
| Registered Office Address: | 300 West Good Samaritan Drive, Warren, MN 56762, USA |
| ZIP code: | 56762 |
| County: | Polk County |
| Place of Formation: | Minnesota |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| QBS2F94D5Q21 | 2025-01-15 | 300 W GOOD SAMARITAN DR, WARREN, MN, 56762, 1412, USA | 300 WEST GOOD SAMARITAN DR, WARREN, MN, 56762, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 07 |
| State/Country of Incorporation | MN, USA |
| Activation Date | 2024-01-18 |
| Initial Registration Date | 2011-10-06 |
| Entity Start Date | 1980-08-14 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MITCHELL KOTRBA |
| Address | 300 WEST GOOD SAMARITAN DR, WARREN, MN, 56762, USA |
| Title | ALTERNATE POC |
| Name | JON LINNELL |
| Address | 300 WEST GOOD SAMARITAN DRIVE, WARREN, MN, 56762, 1420, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MITCHELL KOTRBA |
| Address | 300 WEST GOOD SAMARITAN DR, WARREN, MN, 56762, USA |
| Title | ALTERNATE POC |
| Name | JON LINNELL |
| Address | 300 WEST GOOD SAMARITAN DRIVE, WARREN, MN, 56762, 1420, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH VALLEY HEALTH CENTER 403(B) PLAN | 2023 | 411384358 | 2024-08-05 | WARREN COMMUNITY HOSPITAL, INC | 99 | |||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-05 |
| Name of individual signing | MITCHELL KOTRBA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-08-05 |
| Name of individual signing | MITCHELL KOTRBA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2014-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 2187454211 |
| Plan sponsor’s DBA name | NORTH VALLEY HEALTH CENTER |
| Plan sponsor’s address | 300 W GOOD SAMARITAN DR, WARREN, MN, 567621412 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-18 |
| Name of individual signing | MITCHELL KOTRBA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-09-18 |
| Name of individual signing | MITCHELL KOTRBA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-02-23 |
| Business code | 622000 |
| Sponsor’s telephone number | 2187454211 |
| Plan sponsor’s DBA name | D.B.A NORTH VALLEY HEALTH CENTER |
| Plan sponsor’s address | 109 SOUTH MINNESOTA STREET, WARREN, MN, 56762 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-07 |
| Name of individual signing | MITCHELL KOTRBA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Jon E Linnell | President | 300 W GOOD SAMARITAN DR, WARREN, MN 56762–1412, USA |
| Filing Name | Filing date |
|---|---|
| Registered Office - Nonprofit Corporation (Domestic) | 2013-11-27 |
| Annual Reinstatement - Nonprofit Corporation (Domestic) | 2007-07-09 |
| Involuntary Dissolution - Nonprofit Corporation (Domestic) | 2005-09-20 |
| Registered Office and/or Agent - Nonprofit Corporation (Domestic) | 1998-09-09 |
| Original Filing - Nonprofit Corporation (Domestic) | 1980-08-14 |
| Nonprofit Corporation (Domestic) Business Name (Business Name: Warren Community Hospital, Inc.) | 1980-08-14 |
Date of last update: 01 Oct 2024
Sources: Minnesota's Official State Website
