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Arbor Lakes Senior Living LLC

Company Details

Name: Arbor Lakes Senior Living LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 29 Jun 2009 (15 years ago)
Company Number: cdf1793f-94d4-e011-a886-001ec94ffe7f
File Number: 3394908-3
Registered Office Address: 945 Sibley Memorial Highway, Lilydale, MN 55118, USA
Principal Executive Office Address: 945 SIBLEY MEMORIAL HWY, LILYDALE, MN 55118–2737, USA
ZIP code: 55118
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARBOR LAKES SENIOR LIVING 401(K) PLAN 2014 271407845 2015-10-14 ARBOR LAKES SENIOR LIVING, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 6514544789
Plan sponsor’s address 12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing LANCE LEMIEUX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing LANCE LEMIEUX
Valid signature Filed with authorized/valid electronic signature
ARBOR LAKES SENIOR LIVING 401(K) PLAN 2013 271407845 2014-10-07 ARBOR LAKES SENIOR LIVING, LLC 48
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 6514544789
Plan sponsor’s address 12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing LANCE E. LEMIEUX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing LANCE E. LEMIEUX
Valid signature Filed with authorized/valid electronic signature
ARBOR LAKES SENIOR LIVING 401(K) PLAN 2013 271407845 2015-10-14 ARBOR LAKES SENIOR LIVING, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 6514544789
Plan sponsor’s address 12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing LANCE LEMIEUX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing LANCE LEMIEUX
Valid signature Filed with authorized/valid electronic signature
ARBOR LAKES SENIOR LIVING 401(K) PLAN 2012 271407845 2013-09-09 ARBOR LAKES SENIOR LIVING, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 6514544789
Plan sponsor’s address 12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2013-09-09
Name of individual signing LANCE E LEMIEUX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-09
Name of individual signing LANCE E LEMIEUX
Valid signature Filed with authorized/valid electronic signature
ARBOR LAKES SENIOR LIVING 401(K) PLAN 2011 271407845 2012-10-11 ARBOR LAKES SENIOR LIVING, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 623000
Sponsor’s telephone number 6514544789
Plan sponsor’s address 12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369

Plan administrator’s name and address

Administrator’s EIN 271407845
Plan administrator’s name ARBOR LAKES SENIOR LIVING, LLC
Plan administrator’s address 12001 - 80TH AVENUE N., MAPLE GROVE, MN, 55369
Administrator’s telephone number 6514544789

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing LANCE LEMIEUX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing LANCE LEMIEUX
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Lance Lemieux Manager 945 SIBLEY MEMORIAL HWY, LILYDALE, MN 55118–2737, USA

Agent

Name Role
Southview Senior Living Management, LLC Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2013-02-06
Annual Reinstatement - Limited Liability Company (Domestic) 2013-01-04
Administrative Termination - Limited Liability Company (Domestic) 2012-08-03
Original Filing - Limited Liability Company (Domestic) 2009-06-29
Limited Liability Company (Domestic) Business Name (Business Name: Arbor Lakes Senior Living LLC) 2009-06-29

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website