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  5. Melrose Area Hospital - CentraCare

Melrose Area Hospital - CentraCare

Company Details

Name: Melrose Area Hospital - CentraCare
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 11 Jul 1997 (27 years ago)
Company Number: e0579ffa-99d4-e011-a886-001ec94ffe7f
File Number: 194154
Principal Place of Business Address: 11 N 5th Ave W, Melrose, MN 56352, USA
ZIP code: 56352
County: Stearns County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2023 411865315 2024-08-22 MELROSE AREA HOSPITAL - CENTRACARE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202555645
Plan sponsor’s address 1406-6TH AVENUE NORTH, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2024-08-22
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2022 411865315 2023-09-20 MELROSE AREA HOSPITAL - CENTRACARE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2021 411865315 2022-10-17 MELROSE AREA HOSPITAL - CENTRACARE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2020 411865315 2021-10-14 MELROSE AREA HOSPITAL - CENTRACARE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2019 411865315 2020-10-15 MELROSE AREA HOSPITAL - CENTRACARE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2018 411865315 2019-10-11 MELROSE AREA HOSPITAL - CENTRACARE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2017 411865315 2018-10-15 MELROSE AREA HOSPITAL - CENTRACARE 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2016 411865315 2017-07-28 MELROSE AREA HOSPITAL - CENTRACARE 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2015 411865315 2016-10-13 MELROSE AREA HOSPITAL - CENTRACARE 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature
MELROSE AREA HOSPITAL -CENTRACARE RETIREMENT PLAN 2014 411865315 2015-10-15 MELROSE AREA HOSPITAL - CENTRACARE 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 622000
Sponsor’s telephone number 3202564231
Plan sponsor’s address 11 NORTH 5TH AVENUE WEST, MELROSE, MN, 56352

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing LAURA BURNS
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
CentraCare Health Services Aplicant 1406 N 6th Ave, St Cloud, MN 56303

Filing

Filing Name Filing date
Assumed Name Renewal 2007-01-11
Original Filing - Assumed Name 1997-07-11
Assumed Name Business Name (Business Name: Melrose Area Hospital - CentraCare) 1997-07-11

Related by officers

CentraCare Health Services

LONG PRAIRIE MEMORIAL HOSPITAL & HOME Park View Center Pine Villa Care Center

Related by address

11 N 5th Ave W, Melrose, MN 56352, USA

Park View Center Pine Villa Care Center

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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