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  5. MINNESOTA SPINE REHAB, INC.

MINNESOTA SPINE REHAB, INC.

Company Details

Name: MINNESOTA SPINE REHAB, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 24 May 2001 (24 years ago)
Company Number: 073ed1ad-9ad4-e011-a886-001ec94ffe7f
File Number: 11R-117
Registered Office Address: 360 Sherman Str #240, St Paul, MN 55102, USA
Principal Executive Office Address: 360 Sherman Street, Suite 470, St. Paul, MN 55102, USA
ZIP code: 55102
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2017 412007046 2018-12-14 MINNESOTA SPINE REHAB, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2018-12-14
Name of individual signing SHERIEF A. MIKHAIL, MD, MPH
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2017 412007046 2018-05-25 MINNESOTA SPINE REHAB, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2018-05-25
Name of individual signing SHERIEF A. MIKHAIL, MD, MPH
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2016 412007046 2017-06-02 MINNESOTA SPINE REHAB, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing SHERIEF A. MIKHAIL, MD, MPH
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2015 412007046 2016-07-26 MINNESOTA SPINE REHAB, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2014 412007046 2015-03-31 MINNESOTA SPINE REHAB, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2015-03-31
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2013 412007046 2014-07-25 MINNESOTA SPINE REHAB, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2013 412007046 2014-03-03 MINNESOTA SPINE REHAB, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2014-03-03
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-03
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2012 412007046 2013-04-29 MINNESOTA SPINE REHAB, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2013-04-29
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-29
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2011 412007046 2012-05-24 MINNESOTA SPINE REHAB, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 412007046
Plan administrator’s name MINNESOTA SPINE REHAB, INC.
Plan administrator’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102
Administrator’s telephone number 6512096520

Signature of
Role Plan administrator
Date 2012-05-24
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-24
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
MINNESOTA SPINE REHAB, INC. 401(K) PLAN 2010 412007046 2011-05-26 MINNESOTA SPINE REHAB, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621340
Sponsor’s telephone number 6512096520
Plan sponsor’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 412007046
Plan administrator’s name MINNESOTA SPINE REHAB, INC.
Plan administrator’s address 360 SHERMAN ST #470, ST. PAUL, MN, 55102
Administrator’s telephone number 6512096520

Signature of
Role Plan administrator
Date 2011-05-26
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-26
Name of individual signing SHERIEF MIKHAIL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Sherief A Mikhail Chief Executive Officer 360 Sherman Street Suite 470, St. Paul, MN 55102, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2022-01-25
Registered Office and/or Agent - Business Corporation (Domestic) 2002-06-17
Original Filing - Business Corporation (Domestic) 2001-05-24
Business Corporation (Domestic) Business Name (Business Name: MINNESOTA SPINE REHAB, INC.) 2001-05-24

Related by officers

Sherief A Mikhail

OCCMED SERVICES, P.A.

Related by address

No related companies by address

Date of last update: 12 Jan 2025

Sources: Minnesota's Official State Website

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