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  5. Lifespan of Minnesota, Inc.

Lifespan of Minnesota, Inc.

Company Details

Name: Lifespan of Minnesota, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 21 May 2003 (22 years ago)
Company Number: b5ebfaf6-9fd4-e011-a886-001ec94ffe7f
File Number: 12S-194
Registered Office Address: 12425 River Ridge Blvd. Suite 200, Burnsville, MN 55337, USA
Principal Executive Office Address: 12425 RIVER RIDGE BLVD, BURNSVILLE, MN 55337, USA
ZIP code: 55337
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2018 061696473 2019-08-19 LIFESPAN OF MINNESOTA, INC. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628502
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2018 061696473 2019-05-14 LIFESPAN OF MINNESOTA, INC. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628502
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2017 061696473 2018-06-11 LIFESPAN OF MINNESOTA, INC. 118
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628502
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2016 061696473 2017-07-27 LIFESPAN OF MINNESOTA, INC. 118
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628502
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing TRACI HACKMANN
Valid signature Filed with authorized/valid electronic signature
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2015 061696473 2016-07-18 LIFESPAN OF MINNESOTA, INC. 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628502
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing RHONDA SUEDBECK
Valid signature Filed with authorized/valid electronic signature
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2014 061696473 2015-10-08 LIFESPAN OF MINNESOTA, INC. 114
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628501
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing RHONDA SUEDBECK
Valid signature Filed with authorized/valid electronic signature
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2013 061696473 2014-07-11 LIFESPAN OF MINNESOTA, INC. 107
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628501
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing RHONDA SUEDBECK
Valid signature Filed with authorized/valid electronic signature
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2012 061696473 2013-06-18 LIFESPAN OF MINNESOTA, INC. 94
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628501
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing RHONDA SUEDBECK
Valid signature Filed with authorized/valid electronic signature
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2011 061696473 2012-06-05 LIFESPAN OF MINNESOTA, INC. 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628501
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 061696473
Plan administrator’s name LIFESPAN OF MINNESOTA, INC.
Plan administrator’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337
Administrator’s telephone number 9525628501

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing RHONDA SUEDBECK
Valid signature Filed with authorized/valid electronic signature
LIFESPAN OF MINNESOTA, INC. EMPLOYEE SAVINGS PLAN 2010 061696473 2011-05-19 LIFESPAN OF MINNESOTA, INC. 99
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621330
Sponsor’s telephone number 9525628501
Plan sponsor’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 061696473
Plan administrator’s name LIFESPAN OF MINNESOTA, INC.
Plan administrator’s address 12425 RIVER RIDGE BLVD, SUITE 200, BURNSVILLE, MN, 55337
Administrator’s telephone number 9525628501

Signature of
Role Plan administrator
Date 2011-05-19
Name of individual signing RHONDA SUEDBECK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-19
Name of individual signing RHONDA SUEDBECK
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
TRACI HACKMANN Chief Executive Officer 12425 RIVER RIDGE BLVD, BURNSVILLE, MN 55337, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Business Corporation (Domestic) Restated Articles 2010-07-01
Business Corporation (Domestic) Change of Shares 2010-07-01
Registered Office and/or Agent - Business Corporation (Domestic) 2007-09-19
Original Filing - Business Corporation (Domestic) 2003-05-21
Business Corporation (Domestic) Business Name (Business Name: Lifespan of Minnesota, Inc.) 2003-05-21

Related by officers

TRACI HACKMANN

Lifespan Transportation Services, Inc.

Related by address

12425 RIVER RIDGE BLVD, BURNSVILLE, MN 55337, USA

LETTY DRESSING LLC VANDY ENTERPRISES, LLC Lifespan Transportation Services, Inc.

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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