| Name: | Albert Lea Medical Center-Mayo Health System |
| Jurisdiction: | Minnesota |
| Legal type: | Assumed Name |
| Status: | Inactive |
| Date formed: | 23 May 2011 (14 years ago) |
| Company Number: | b77cb867-86d4-e011-a886-001ec94ffe7f |
| File Number: | 4312829-2 |
| Principal Place of Business Address: | 404 W Fountain Str, Albert Lea, MN 56007, USA |
| ZIP code: | 56007 |
| County: | Freeborn County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALBERT LEA MEDICAL CENTER HEALTHCARE REIMBURSEMENT ACCOUNT | 2009 | 411404075 | 2010-07-30 | ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM | 838 | |||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 411404075 |
| Plan administrator’s name | ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM |
| Plan administrator’s address | 404 WEST FOUNTAIN STREET, ALBERT LEA, MN, 56007 |
| Administrator’s telephone number | 5073776259 |
Number of participants as of the end of the plan year
| Active participants | 875 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-30 |
| Name of individual signing | MONICA FLEEGEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 555 |
| Effective date of plan | 2007-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 5073776259 |
| Plan sponsor’s mailing address | 404 WEST FOUNTAIN STREET, ALBERT LEA, MN, 56007 |
| Plan sponsor’s address | 404 WEST FOUNTAIN STREET, ALBERT LEA, MN, 56007 |
Plan administrator’s name and address
| Administrator’s EIN | 411404075 |
| Plan administrator’s name | ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM |
| Plan administrator’s address | 404 WEST FOUNTAIN STREET, ALBERT LEA, MN, 56007 |
| Administrator’s telephone number | 5073776259 |
Number of participants as of the end of the plan year
| Active participants | 838 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-30 |
| Name of individual signing | MONICA FLEEGEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Mayo Clinic Health System-Albert Lea and Austin | Aplicant | 1000 1st Drv NW, Austin, MN 55912 |
| Filing Name | Filing date |
|---|---|
| Cancellation - Assumed Name | 2017-08-25 |
| Amendment - Assumed Name | 2013-01-16 |
| Original Filing - Assumed Name (Business Name: Albert Lea Medical Center-Mayo Health System) | 2011-05-23 |
Date of last update: 01 Oct 2024
Sources: Minnesota's Official State Website
