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  5. CHOSEN VALLEY CARE CENTER, INC.

CHOSEN VALLEY CARE CENTER, INC.

Company Details

Name: CHOSEN VALLEY CARE CENTER, INC.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 04 Feb 1976 (49 years ago)
Company Number: bcb5dc1c-b2d4-e011-a886-001ec94ffe7f
File Number: O-33
Registered Office Address: 1102 Liberty Str, Chatfield, MN 55923, USA
ZIP code: 55923
County: Fillmore County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2022 411272572 2023-11-10 CHOSEN VALLEY CARE CENTER 105
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2023-11-10
Name of individual signing RACHEL CHIGLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-11-10
Name of individual signing RACHEL CHIGLO
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2021 411272572 2022-12-16 CHOSEN VALLEY CARE CENTER 106
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2022-12-16
Name of individual signing RACHEL CHIGLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-16
Name of individual signing RACHEL CHIGLO
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2020 411272572 2021-12-07 CHOSEN VALLEY CARE CENTER 105
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2021-12-07
Name of individual signing SUSAN MCCLIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-12-07
Name of individual signing SUSAN MCCLIMON
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2019 411272572 2020-12-22 CHOSEN VALLEY CARE CENTER 99
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2020-12-22
Name of individual signing SUSAN MCCLIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-12-22
Name of individual signing SUSAN MCCLIMON
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2018 411272572 2019-11-18 CHOSEN VALLEY CARE CENTER 98
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2019-11-18
Name of individual signing SUSAN NEIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-11-18
Name of individual signing SUSAN NEIS
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2017 411272572 2019-01-14 CHOSEN VALLEY CARE CENTER 102
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2019-01-14
Name of individual signing SUSAN NEIS
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2016 411272572 2017-12-14 CHOSEN VALLEY CARE CENTER 95
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2017-12-14
Name of individual signing SUSAN NEIS
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2015 411272572 2017-05-22 CHOSEN VALLEY CARE CENTER 99
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing ELLEN STRANDE
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2014 411272572 2016-04-26 CHOSEN VALLEY CARE CENTER 103
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2016-04-26
Name of individual signing ELLEN STRANDE
Valid signature Filed with authorized/valid electronic signature
CHOSEN VALLEY CARE CENTER 401(K) PLAN 2013 411272572 2015-07-14 CHOSEN VALLEY CARE CENTER 101
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-09-01
Business code 623000
Sponsor’s telephone number 5078674220
Plan sponsor’s address 1102 LIBERTY STREET SE, CHATFIELD, MN, 55923

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing ELLEN STRANDE
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
John Kelly President 1102 LIBERTY ST SE, CHATFIELD, MN 55923–1499, United States of America

Filing

Filing Name Filing date
Nonprofit Corporation (Domestic) Other 2006-02-24
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2006-01-26
Nonprofit Corporation (Domestic) Business Name (Business Name: CHOSEN VALLEY CARE CENTER, INC.) 1997-12-09
Amendment - Nonprofit Corporation (Domestic) 1990-07-30
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1990-03-02
Original Filing - Nonprofit Corporation (Domestic) 1976-02-04
Nonprofit Corporation (Domestic) Business Name (Business Name: Chosen Valley Care Center, Inc.) 1976-02-04

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Related by address

1102 Liberty Str, Chatfield, MN 55923, USA

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Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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