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  5. Riverview Healthcare Association

Riverview Healthcare Association

Company Details

Name: Riverview Healthcare Association
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 Jun 1898 (127 years ago)
Company Number: c2fde3e8-b5d4-e011-a886-001ec94ffe7f
File Number: 25-NPA
Registered Office Address: 323 S Minnesota, Crookston, MN 56716, USA
ZIP code: 56716
County: Polk County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
S6J9UJ9DLK28 2025-01-08 323 S MINNESOTA ST, CROOKSTON, MN, 56716, 1601, USA 323 S MINNESOTA ST, CROOKSTON, MN, 56716, 1601, USA

Business Information
URL www.riverviewhealth.org
Congressional District 07
State/Country of Incorporation MN, USA
Activation Date 2024-01-11
Initial Registration Date 2007-11-16
Entity Start Date 1898-06-12
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHRIS BRUGGEMAN
Role COO
Address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716, 1601, USA
Title ALTERNATE POC
Name BETTY ARVIDSON
Role CFO
Address 323 S MINNESOTA ST, CROOKSTON, MN, 56716, 1601, USA
Government Business
Title PRIMARY POC
Name CHRIS BRUGGEMAN
Role COO
Address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716, 1601, USA
Title ALTERNATE POC
Name BETTY ARVIDSON
Role CFO
Address 323 S MINNESOTA ST, CROOKSTON, MN, 56716, 1601, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIVERVIEW HEALTHCARE SELECT 105 MEDICAL AND DIRECT DENTAL PLAN 2011 410724029 2012-07-26 RIVERVIEW HEALTHCARE ASSOCIATION 289
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2001-12-01
Business code 622000
Sponsor’s telephone number 2182819409
Plan sponsor’s mailing address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Plan sponsor’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 410724029
Plan administrator’s name RIVERVIEW HEALTHCARE ASSOCIATION
Plan administrator’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Administrator’s telephone number 2182819409

Number of participants as of the end of the plan year
Active participants 291

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing ROSS MATLACK
Valid signature Filed with authorized/valid electronic signature
RIVERVIEW HEALTHCARE ASSOCIATION TAX DEFERRED ANNUITY PLAN 2010 410724029 2011-10-17 RIVERVIEW HEALTHCARE ASSOCIATION 12
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1974-09-01
Business code 622000
Sponsor’s telephone number 2182819200
Plan sponsor’s address 323 MINNESOTA, CROOKSTON, MN, 567161600

Plan administrator’s name and address
Administrator’s EIN 410724029
Plan administrator’s name RIVERVIEW HEALTHCARE ASSOCIATION
Plan administrator’s address 323 MINNESOTA, CROOKSTON, MN, 567161600
Administrator’s telephone number 2182819200

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing ROSS MATLACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing ROSS MATLACK
Valid signature Filed with authorized/valid electronic signature
RIVERVIEW HEALTHCARE SELECT 105 MEDICAL AND DIRECT DENTAL PLAN 2010 410724029 2012-06-15 RIVERVIEW HEALTHCARE ASSOCIATION 294
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2001-12-01
Business code 622000
Sponsor’s telephone number 2182819409
Plan sponsor’s mailing address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Plan sponsor’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 410724029
Plan administrator’s name RIVERVIEW HEALTHCARE ASSOCIATION
Plan administrator’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Administrator’s telephone number 2182819409

Number of participants as of the end of the plan year
Active participants 289

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing ROSS MATLACK
Valid signature Filed with authorized/valid electronic signature
RIVERVIEW HEALTHCARE ASSOCIATION TAX DEFERRED ANNUITY PLAN 2009 410724029 2010-10-15 RIVERVIEW HEALTHCARE ASSOCIATION 12
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1974-09-01
Business code 622000
Sponsor’s telephone number 2182819200
Plan sponsor’s address 323 MINNESOTA ST S, CROOKSTON, MN, 567161600

Plan administrator’s name and address
Administrator’s EIN 410724029
Plan administrator’s name RIVERVIEW HEALTHCARE ASSOCIATION
Plan administrator’s address 323 MINNESOTA ST S, CROOKSTON, MN, 567161600
Administrator’s telephone number 2182819200

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing ROSS A MATLACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing ROSS A MATLACK
Valid signature Filed with authorized/valid electronic signature
RIVERVIEW HEALTHCARE SELECT105 MEDICAL AND DIRECT DENTAL PLAN 2009 410724029 2011-06-24 RIVERVIEW HEALTHCARE ASSOCIATION 283
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2001-12-01
Business code 622000
Sponsor’s telephone number 2182819409
Plan sponsor’s mailing address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Plan sponsor’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 410724029
Plan administrator’s name RIVERVIEW HEALTHCARE ASSOCIATION
Plan administrator’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Administrator’s telephone number 2182819409

Number of participants as of the end of the plan year
Active participants 294
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 2011-06-24
Name of individual signing ROSS MATLACK
Valid signature Filed with authorized/valid electronic signature
RIVERVIEW HEALTHCARE SELECT105 MEDICAL AND DIRECT DENTAL PLAN 2009 410724029 2011-06-23 RIVERVIEW HEALTHCARE ASSOCIATION 283
Three-digit plan number (PN) 505
Effective date of plan 2001-12-01
Business code 622000
Sponsor’s telephone number 2182819409
Plan sponsor’s mailing address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Plan sponsor’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 410724029
Plan administrator’s name RIVERVIEW HEALTHCARE ASSOCIATION
Plan administrator’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Administrator’s telephone number 2182819409

Number of participants as of the end of the plan year
Active participants 294
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 Employer/plan sponsor
Date 2011-06-23
Name of individual signing ROSS MATLACK
Valid signature Filed with authorized/valid electronic signature
RIVERVIEW HEALTHCARE SELECT105 MEDICAL AND DIRECT DENTAL PLAN 2009 410724029 2010-06-23 RIVERVIEW HEALTHCARE ASSOCIATION 275
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2001-12-01
Business code 622000
Sponsor’s telephone number 2182819409
Plan sponsor’s mailing address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Plan sponsor’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 410724029
Plan administrator’s name RIVERVIEW HEALTHCARE ASSOCIATION
Plan administrator’s address 323 SOUTH MINNESOTA STREET, CROOKSTON, MN, 56716
Administrator’s telephone number 2182819409

Number of participants as of the end of the plan year
Active participants 283
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 2010-06-23
Name of individual signing CARRIE MICHALSKI
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Carrie Michalski President 323 S Minnesota Str, Crookston, MN 56716, USA

Filing

Filing Name Filing date
Amendment - Nonprofit Corporation (Domestic) (Business Name: Riverview Healthcare Association) 2018-03-15
Annual Reinstatement - Nonprofit Corporation (Domestic) 2013-04-08
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2013-02-27
Nonprofit Corporation (Domestic) Restated Articles 2002-03-19
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1991-01-14
Nonprofit Corporation (Domestic) Business Name (Business Name: RIVERVIEW HEALTHCARE ASSOCIATION) 1988-04-21
Nonprofit Corporation (Domestic) Business Name (Business Name: Riverview Hospital Association) 1970-04-02
Nonprofit Corporation (Domestic) Duration 1955-02-17
Amendment - Nonprofit Corporation (Domestic) 1952-08-14
Nonprofit Corporation (Domestic) Change of Shares 1904-06-23

Related by officers

Carrie Michalski

Riverview Healthcare Foundation, Inc.

Related by address

323 S Minnesota, Crookston, MN 56716, USA

Glenmore Foundation Riverview Personal Care, Inc. Riverview Hospital Crookston Community Hospice Glenmore Recovery Center

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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