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  5. LifeSpark, LLC

LifeSpark, LLC

Company Details

Name: LifeSpark, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 14 Aug 2018 (6 years ago)
Company Number: dabe8658-05a0-e811-9163-00155d0deff0
File Number: 1028039300038
Registered Office Address: 521 Benzel Ave NW, Madelia, MN 56062, USA
Principal Executive Office Address: 521 BENZEL AVE NW, Madelia, MN 56062, USA
ZIP code: 56062
County: Watonwan County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFESPARK, LLC HEALTH AND WELFARE PLAN 2023 201533504 2024-07-29 LIFESPARK, LLC 920
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 621610
Sponsor’s telephone number 9523458770
Plan sponsor’s mailing address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670
Plan sponsor’s address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670

Number of participants as of the end of the plan year
Active participants 786
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 10

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
LIFESPARK, LLC HEALTH AND WELFARE PLAN (502) 2023 201533504 2024-07-29 LIFESPARK, LLC 920
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-01-01
Business code 621610
Sponsor’s telephone number 9523458770
Plan sponsor’s mailing address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670
Plan sponsor’s address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670

Number of participants as of the end of the plan year
Active participants 786
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 10

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
LIFESPARK, LLC HEALTH AND WELFARE PLAN 2022 201533504 2023-07-31 LIFESPARK, LLC 721
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-01-01
Business code 621610
Sponsor’s telephone number 9523458770
Plan sponsor’s mailing address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670
Plan sponsor’s address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670

Number of participants as of the end of the plan year
Active participants 920
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 40

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
LIFESPARK, LLC HEALTH AND WELFARE PLAN 2022 201533504 2023-07-31 LIFESPARK, LLC 721
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 621610
Sponsor’s telephone number 9523458770
Plan sponsor’s mailing address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670
Plan sponsor’s address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670

Number of participants as of the end of the plan year
Active participants 920
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 40

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing STEPHANIE GRANGRUTH
Valid signature Filed with authorized/valid electronic signature
LIFESPARK, LLC HEALTH AND WELFARE PLAN 2021 201533504 2022-06-13 LIFESPARK, LLC 568
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-01-01
Business code 621610
Sponsor’s telephone number 9523458770
Plan sponsor’s mailing address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670
Plan sponsor’s address 5320 W 23RD ST STE 130, ST LOUIS PARK, MN, 554161670

Number of participants as of the end of the plan year
Active participants 721
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 38

Signature of
Role Plan administrator
Date 2022-06-13
Name of individual signing KRISTEN DOUGHTY
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Michelle L Van Hee Manager 521 BENZEL AVE NW, MADELIA, MN 56062, USA

Agent

Name Role
Michelle Van Hee Agent

Filing

Filing Name Filing date
Administrative Termination - Limited Liability Company (Domestic) 2023-02-02
Original Filing - Limited Liability Company (Domestic) (Business Name: LifeSpark, LLC) 2018-08-14

Related by officers

Michelle Van Hee

Van Hee Media L. L. C.

Related by address

No related companies by address

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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