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  5. Kenyon Sunset Home

Kenyon Sunset Home

Company Details

Name: Kenyon Sunset Home
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Inactive
Date formed: 31 Jul 1973 (51 years ago)
Company Number: ed8e4769-b7d4-e011-a886-001ec94ffe7f
File Number: L-9
Registered Office Address: 127 Gunderson Blvd, Kenyon, MN 55946, USA
ZIP code: 55946
County: Goodhue County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENYON SUNSET HOME TAX DEFERRED ANNUITY PLAN 2014 411263434 2015-05-13 KENYON SUNSET HOME 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-08-01
Business code 623000
Sponsor’s telephone number 5077897103
Plan sponsor’s address 127 GUNDERSON BLVD., KENYON, MN, 55946

Signature of
Role Plan administrator
Date 2015-05-13
Name of individual signing CHELSEA UGLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-13
Name of individual signing CHELSEA UGLAND
Valid signature Filed with authorized/valid electronic signature
KENYON SUNSET HOME TAX DEFERRED ANNUITY PLAN 2013 411263434 2014-04-09 KENYON SUNSET HOME 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-08-01
Business code 623000
Sponsor’s telephone number 5077897103
Plan sponsor’s address 127 GUNDERSON BLVD, KENYON, MN, 55946

Plan administrator’s name and address
Administrator’s EIN 411263434
Plan administrator’s name KENYON SUNSET HOME
Plan administrator’s address 127 GUNDERSON BLVD, KENYON, MN, 55946
Administrator’s telephone number 5077897103

Signature of
Role Plan administrator
Date 2014-04-09
Name of individual signing CHELSEA UGLAND
Valid signature Filed with authorized/valid electronic signature
KENYON SUNSET HOME TAX DEFERRED ANNUNITY PLAN 2012 411263434 2013-11-25 KENYON SUNSET HOME 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-08-01
Business code 623000
Sponsor’s telephone number 5077897103
Plan sponsor’s address 127 GUNDERSON BLVD, KENYON, MN, 55946

Plan administrator’s name and address
Administrator’s EIN 411263434
Plan administrator’s name KENYON SUNSET HOME
Plan administrator’s address 127 GUNDERSON BLVD, KENYON, MN, 55946
Administrator’s telephone number 5077897103

Signature of
Role Plan administrator
Date 2013-11-25
Name of individual signing CHELSEA UGLAND
Valid signature Filed with authorized/valid electronic signature
KENYON SUNSET HOME TAX DEFERRED ANNUNITY PLAN 2011 411263434 2013-11-25 KENYON SUNSET HOME 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-08-01
Business code 623000
Sponsor’s telephone number 5077897103
Plan sponsor’s address 127 GUNDERSON BLVD, KENYON, MN, 55946

Plan administrator’s name and address
Administrator’s EIN 411263434
Plan administrator’s name KENYON SUNSET HOME
Plan administrator’s address 127 GUNDERSON BLVD, KENYON, MN, 55946
Administrator’s telephone number 5077897103

Signature of
Role Plan administrator
Date 2013-11-25
Name of individual signing CHELSEA UGLAND
Valid signature Filed with authorized/valid electronic signature
KENYON SUNSET HOME TAX DEFERRED ANNUNITY PLAN 2010 411263434 2011-10-13 KENYON SUNSET HOME No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-08-01
Plan sponsor’s address 127 GUNDERSON BLVD, KENYON, MN, 55946

Plan administrator’s name and address
Administrator’s EIN 411263434
Plan administrator’s name KENYON SUNSET HOME
Plan administrator’s address 127 GUNDERSON BLVD, KENYON, MN, 55946

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DAVID VANDERGON
Valid signature Filed with authorized/valid electronic signature
KENYON SUNSET HOME TAX DEFERRED ANNUNITY PLAN 2009 411263434 2010-10-12 KENYON SUNSET HOME 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-08-01
Plan sponsor’s address 127 GUNDERSON BLVD, KENYON, MN, 55946

Plan administrator’s name and address
Administrator’s EIN 411263434
Plan administrator’s name KENYON SUNSET HOME
Plan administrator’s address 127 GUNDERSON BLVD, KENYON, MN, 55946

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing DAVID VANDERGON
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
David Hellstern President 402 Skogen Drive, Kenyon, MN 55946, USA

Filing

Filing Name Filing date
Dissolution - Nonprofit Corporation (Domestic) 2024-02-20
Intent to Dissolve - Nonprofit Corporation (Domestic) 2023-12-19
Annual Reinstatement - Nonprofit Corporation (Domestic) 2022-04-29
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2022-01-25
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2005-11-15
Amendment - Nonprofit Corporation (Domestic) 1983-10-28
Original Filing - Nonprofit Corporation (Domestic) 1973-07-31
Nonprofit Corporation (Domestic) Business Name (Business Name: Kenyon Sunset Home) 1973-07-31

Related by officers

David Hellstern

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Related by address

127 Gunderson Blvd, Kenyon, MN 55946, USA

Faith In Action of Dodge County, Kenyon & Nerstrand Areas Kenyon Senior Living Kenyon Senior Living

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website

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