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  5. Maple Lake Recovery Center, Inc.

Maple Lake Recovery Center, Inc.

Company Details

Name: Maple Lake Recovery Center, Inc.
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 Jan 1997 (28 years ago)
Company Number: c5559aff-a5d4-e011-a886-001ec94ffe7f
File Number: 1P-70
Registered Office Address: 207 Division Str E, Maple Lake, MN 55358, USA
ZIP code: 55358
County: Wright County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2023 411863110 2024-04-16 MAPLE LAKE RECOVERY CENTER, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 7632287108
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2024-04-16
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-16
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2023 411863110 2024-07-22 MAPLE LAKE RECOVERY CENTER, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 7632287108
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-10
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2022 411863110 2023-07-07 MAPLE LAKE RECOVERY CENTER, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 7632287108
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-07
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2021 411863110 2022-10-14 MAPLE LAKE RECOVERY CENTER, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 7632287108
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2020 411863110 2021-03-29 MAPLE LAKE RECOVERY CENTER, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 7632287108
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2021-03-29
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-29
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2019 411863110 2020-06-25 MAPLE LAKE RECOVERY CENTER, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 7632287108
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-25
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2018 411863110 2019-07-01 MAPLE LAKE RECOVERY CENTER, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 3209636865
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2017 411863110 2018-07-26 MAPLE LAKE RECOVERY CENTER, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 3209636865
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2016 411863110 2017-07-19 MAPLE LAKE RECOVERY CENTER, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 3209636865
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-19
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
MAPLE LAKE RECOVERY CENTER 401(K) PROFIT SHARING PLAN 2015 411863110 2016-06-01 MAPLE LAKE RECOVERY CENTER, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 3209636865
Plan sponsor’s address 207 DIVISION STREET EAST, MAPLE LAKE, MN, 55358

Signature of
Role Plan administrator
Date 2016-06-01
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-01
Name of individual signing DAVID SMITH
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Bill Gullicksen President 207 Division St. East, PO Box 308, Maple Lake, MN 55358, USA

Agent

Name Role
Michael K Happ Agent

Filing

Filing Name Filing date
Intent to Dissolve - Nonprofit Corporation (Domestic) 2024-05-09
Annual Reinstatement - Nonprofit Corporation (Domestic) 2007-10-12
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2005-09-20
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2001-06-12
Original Filing - Nonprofit Corporation (Domestic) 1997-01-06
Nonprofit Corporation (Domestic) Business Name (Business Name: Maple Lake Recovery Center, Inc.) 1997-01-06

Related by officers

Bill Gullicksen

MLRC Foundation

Related by address

No related companies by address

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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