Menu
Search icon

Fairview Health Services

Company Details

Name: Fairview Health Services
Jurisdiction: Minnesota
Legal type: Name Reservation
Status: Inactive
Date formed: 29 Oct 1997 (27 years ago)
Company Number: d99f3984-b6d4-e011-a886-001ec94ffe7f
File Number: RN-23949

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
30KW3 Active Non-Manufacturer 2004-08-30 2023-12-05 2027-12-07 2023-12-05

Contact Information
POC SHEILA SLATTERY
Phone +1 612-672-6879
Address 5200 FAIRVIEW BLVD, WYOMING, MN, 55092 8013, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRVIEW HEALTH SERVICES 403B PLAN FOR MNA EMPLOYEES 2012 410991680 2013-10-08 FAIRVIEW HEALTH SERVICES 1519
File View Page
Three-digit plan number (PN) 014
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 1722

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing DANIEL FROMM
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HEALTH SERVICES 403B PLAN 2012 410991680 2013-10-08 FAIRVIEW HEALTH SERVICES 16072
File View Page
Three-digit plan number (PN) 015
Effective date of plan 2006-10-01
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 13254
Retired or separated participants receiving benefits 3863
Other retired or separated participants entitled to future benefits 10

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing DANIEL FROMM
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HEALTH SERVICES PENSION PLAN 2012 410991680 2013-10-08 FAIRVIEW HEALTH SERVICES 13241
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1970-07-09
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVE, MINNEAPOLIS, MN, 55454

Plan administrator’s name and address
Administrator’s EIN 410991680
Plan administrator’s name FAIRVIEW HEALTH SERVICES
Plan administrator’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Administrator’s telephone number 6126727282

Number of participants as of the end of the plan year
Active participants 13254
Retired or separated participants receiving benefits 2863
Other retired or separated participants entitled to future benefits 10

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing DANIEL FROMM
Valid signature Filed with authorized/valid electronic signature
COLUMBIA PARK MEDICAL GROUP 2012 410991680 2013-10-09 FAIRVIEW HEALTH SERVICES 457
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-01-01
Business code 621111
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 280
Retired or separated participants receiving benefits 31
Other retired or separated participants entitled to future benefits 120

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing DANIEL FROMM
Valid signature Filed with authorized/valid electronic signature
RIVERSIDE MEDICAL CENTER EMPLOYEE'S DEFINED BENEFIT PENSION PLAN 2012 410991680 2013-10-08 FAIRVIEW HEALTH SERVICES 218
File View Page
Three-digit plan number (PN) 013
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 67
Retired or separated participants receiving benefits 96
Other retired or separated participants entitled to future benefits 55

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing DANIEL FROMM
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HEALTH SERVICES TAX SHELTERED ANNUITY 2012 410991680 2013-10-08 FAIRVIEW HEALTH SERVICES 18
File View Page
Three-digit plan number (PN) 011
Effective date of plan 1976-01-01
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 0
Number of participants with account balances as of the end of the plan year 0

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing DANIEL FROMM
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HEALTH SERVICES GROUP LIFE & ACCIDENTAL DEATH & DISMEMBERMENT 2012 410991680 2013-07-10 FAIRVIEW HEALTH SERVICES 14827
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1980-07-01
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Plan administrator’s name and address
Administrator’s EIN 410991680
Plan administrator’s name FAIRVIEW HEALTH SERVICES
Plan administrator’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Administrator’s telephone number 6126727282

Number of participants as of the end of the plan year
Active participants 17652

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing PAULA PHILLIPPE
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HEALTH SERVICES GROUP LONG TERM DISABILITY PLAN 2012 410991680 2013-07-10 FAIRVIEW HEALTH SERVICES 13200
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1980-07-01
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 15108

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing PAULA PHILLIPPE
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW HEALTH SERVICES ACCIDENTAL DEATH & DISMEMBERMENT 2012 410991680 2013-07-09 FAIRVIEW HEALTH SERVICES 21877
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1973-02-01
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 22494

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing PAULA PHILLIPPE
Valid signature Filed with authorized/valid electronic signature
FAIRVIEW SEVERANCE PAY PLAN 2012 410991680 2013-07-09 FAIRVIEW HEALTH SERVICES 163
File View Page
Three-digit plan number (PN) 517
Effective date of plan 1993-08-10
Business code 622000
Sponsor’s telephone number 6126727282
Plan sponsor’s mailing address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454
Plan sponsor’s address 2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN, 55454

Number of participants as of the end of the plan year
Active participants 51

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing PAULA PHILLIPPE
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Fairview Hospital & Healthcare Aplicant 2312 S 6th Str, Mpls, MN 55454

Filing

Filing Name Filing date
Renewal - Name Reservation 1998-10-22
Original Filing - Name Reservation 1997-10-29
Name Reservation Business Name (Business Name: Fairview Health Services) 1997-10-29

Related by officers

Fairview Hospital & Healthcare

Fairview Lakes Regional Health Care Fairview Northland Pharmacy - Milaca Fairview Northland Pharmacy - Princeton Fairview - University Medical Center Fairview Northland Pharmacy - Zimmerman Eagan Medical Associates Fairview Home Care Pharmacy Fairview Northland Pharmacy - Elk River Danielson Medical Arts Pharmacy Opatz Pharmacy

Related by address

No related companies by address

Date of last update: 29 Nov 2024

Sources: Minnesota's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 minnesotacompanysearch.com, Part of Big Data Integrated