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  5. LAKEVIEW METHODIST HEALTH CARE CENTER

LAKEVIEW METHODIST HEALTH CARE CENTER

Company Details

Name: LAKEVIEW METHODIST HEALTH CARE CENTER
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 19 Aug 1958 (66 years ago)
Company Number: d156fc9f-b8d4-e011-a886-001ec94ffe7f
File Number: C-782
Registered Office Address: 610 Summit Drv, Fairmont, MN 56031, USA
ZIP code: 56031
County: Martin County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F7TNM967RAM3 2024-09-07 610 SUMMIT DR, FAIRMONT, MN, 56031, 2247, USA 610 SUMMIT DR, FAIRMONT, MN, 56031, 2247, USA

Business Information
URL https://www.lakeviewmethodist.org/
Congressional District 01
State/Country of Incorporation MN, USA
Activation Date 2023-09-12
Initial Registration Date 2018-04-04
Entity Start Date 1958-08-19
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DEBORAH BARNES
Role EXECUTIVE DIRECTOR
Address 610 SUMMIT DR, FAIRMONT, MN, 56031, USA
Government Business
Title PRIMARY POC
Name DEBORAH BARNES
Role EXECUTIVE DIRECTOR
Address 610 SUMMIT DR., FAIRMONT, MN, 56031, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKEVIEW RETIREMENT PLAN 2023 410874740 2024-10-11 LAKEVIEW METHODIST HEALTH CARE CENTER 139
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing MAE DEWAR-AUST
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW RETIREMENT PLAN 2014 410874740 2015-10-15 LAKEVIEW METHODIST HEALTH CARE CENTER 194
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s mailing address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Number of participants as of the end of the plan year
Active participants 175
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 25
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MAE DEWAR-AUST
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW RETIREMENT PLAN 2013 410874740 2014-10-13 LAKEVIEW METHODIST HEALTH CARE CENTER 209
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s mailing address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Number of participants as of the end of the plan year
Active participants 192
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 23

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing MAE DEWAR-AUST
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW RETIREMENT PLAN 2012 410874740 2013-08-22 LAKEVIEW METHODIST HEALTH CARE CENTER 218
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s mailing address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Plan administrator’s name and address
Administrator’s EIN 410874740
Plan administrator’s name LAKEVIEW METHODIST HEALTH CARE CENTER
Plan administrator’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Administrator’s telephone number 5072356606

Number of participants as of the end of the plan year
Active participants 207
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 23

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing MAE DEWAR-AUST
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW RETIREMENT PLAN 2011 410874740 2012-10-10 LAKEVIEW METHODIST HEALTH CARE CENTER 223
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s mailing address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Plan administrator’s name and address
Administrator’s EIN 410874740
Plan administrator’s name LAKEVIEW METHODIST HEALTH CARE CENTER
Plan administrator’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Administrator’s telephone number 5072356606

Number of participants as of the end of the plan year
Active participants 215
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 22

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing MAE DEWAR-AUST
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW RETIREMENT PLAN 2010 410874740 2011-10-13 LAKEVIEW METHODIST HEALTH CARE CENTER 221
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s mailing address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Plan administrator’s name and address
Administrator’s EIN 410874740
Plan administrator’s name LAKEVIEW METHODIST HEALTH CARE CENTER
Plan administrator’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Administrator’s telephone number 5072356606

Number of participants as of the end of the plan year
Active participants 221
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 25
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing MAE DEWAR-AUST
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW RETIREMENT PLAN 2010 410874740 2011-10-12 LAKEVIEW METHODIST HEALTH CARE CENTER 221
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s mailing address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Plan administrator’s name and address
Administrator’s EIN 410874740
Plan administrator’s name LAKEVIEW METHODIST HEALTH CARE CENTER
Plan administrator’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Administrator’s telephone number 5072356606

Number of participants as of the end of the plan year
Active participants 221
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 25
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing MAE DEWAR-AUST
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW RETIREMENT PLAN 2009 410874740 2010-10-15 LAKEVIEW METHODIST HEALTH CARE CENTER 205
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 623000
Sponsor’s telephone number 5072356606
Plan sponsor’s mailing address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Plan sponsor’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031

Plan administrator’s name and address
Administrator’s EIN 410874740
Plan administrator’s name LAKEVIEW METHODIST HEALTH CARE CENTER
Plan administrator’s address 610 SUMMIT DRIVE, FAIRMONT, MN, 56031
Administrator’s telephone number 5072356606

Number of participants as of the end of the plan year
Active participants 247
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 27
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing ROBERT LAKE
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Courtney Cutler President 610 Summit Dr, Fairmont, MN 56031–2299, usa

Filing

Filing Name Filing date
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1985-07-30
Nonprofit Corporation (Domestic) Business Name (Business Name: LAKEVIEW METHODIST HEALTH CARE CENTER) 1985-07-30
Consent to Use of Name - Nonprofit Corporation (Domestic) 1985-01-02
Nonprofit Corporation (Domestic) Business Name (Business Name: Lakeview Methodist Health Care Center) 1984-03-16
Nonprofit Corporation (Domestic) Business Name (Business Name: Lakeview United Methodist Home) 1971-05-12
Nonprofit Corporation (Domestic) Business Name (Business Name: Lakeview Methodist Home) 1967-06-08
Amendment - Nonprofit Corporation (Domestic) 1962-08-31
Original Filing - Nonprofit Corporation (Domestic) 1958-08-19
Nonprofit Corporation (Domestic) Business Name (Business Name: Southwest Minnesota Methodist Home for OlderPersons) 1958-08-19

Related by officers

Courtney Cutler

LAKEVIEW UNITED METHODIST HEALTH SERVICES, INC. MAPLEWOOD RESIDENCE, INC. LAKEVIEW METHODIST HEALTH CARE FOUNDATION, INC.

Related by address

610 Summit Drv, Fairmont, MN 56031, USA

Caregiver Response Effort & Service LAKEVIEW UNITED METHODIST HEALTH SERVICES, INC. Martin County Hospice, Inc.

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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