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  5. Cervical Spine Specialists, P.A.

Cervical Spine Specialists, P.A.

Company Details

Name: Cervical Spine Specialists, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 05 Aug 1999 (25 years ago)
Company Number: 08bae0a1-9ad4-e011-a886-001ec94ffe7f
File Number: 10U-154
Registered Office Address: 7261 Ohms Ln, Edina, MN 55439, USA
Principal Executive Office Address: 140 WILDHURST RD, EXCELSIOR, MN 55331–8421, USA
ZIP code: 55439
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2016 411948122 2017-05-18 CERVICAL SPINE SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252425
Plan sponsor’s address 5305 FORSLIN DRIVE, EDINA, MN, 55436

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing GEORGE FRALEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-17
Name of individual signing GEORGE FRALEY
Valid signature Filed with authorized/valid electronic signature
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2015 411948122 2016-06-10 CERVICAL SPINE SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252425
Plan sponsor’s address 5305 FORSLIN DRIVE, EDINA, MN, 55436

Signature of
Role Plan administrator
Date 2016-06-10
Name of individual signing MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-10
Name of individual signing MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2014 411948122 2015-08-20 CERVICAL SPINE SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252439
Plan sponsor’s address 4015 WEST 65TH STREET, #104, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2015-08-19
Name of individual signing MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-19
Name of individual signing MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2013 411948122 2014-07-28 CERVICAL SPINE SPECIALISTS, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252439
Plan sponsor’s address 7261 OHMS LANE, EDINA, MN, 55439

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-28
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2012 411948122 2013-10-07 CERVICAL SPINE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252425
Plan sponsor’s address 7600 FRANCE AVENUE SOUTH, SUITE 551, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2011 411948122 2012-05-01 CERVICAL SPINE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252425
Plan sponsor’s address 7261 OHMS LANE, EDINA, MN, 55439

Plan administrator’s name and address
Administrator’s EIN 411948122
Plan administrator’s name CERVICAL SPINE SPECIALISTS, P.A.
Plan administrator’s address 7261 OHMS LANE, EDINA, MN, 55439
Administrator’s telephone number 9529252425

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-01
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2010 411948122 2011-07-19 CERVICAL SPINE SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252425
Plan sponsor’s address 7261 OHMS LANE, EDINA, MN, 55439

Plan administrator’s name and address
Administrator’s EIN 411948122
Plan administrator’s name CERVICAL SPINE SPECIALISTS, P.A.
Plan administrator’s address 7261 OHMS LANE, EDINA, MN, 55439
Administrator’s telephone number 9529252425

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing DR. MICHAEL SMITH
Valid signature Filed with authorized/valid electronic signature
CERVICAL SPINE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2009 411948122 2010-07-29 CERVICAL SPINE SPECIALISTS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 9529252425
Plan sponsor’s address 7261 OHMS LANE, EDINA, MN, 55439

Plan administrator’s name and address
Administrator’s EIN 411948122
Plan administrator’s name CERVICAL SPINE SPECIALISTS, P.A.
Plan administrator’s address 7261 OHMS LANE, EDINA, MN, 55439
Administrator’s telephone number 9529252425

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing MICHAEL D SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing MICHAEL D SMITH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Michael Smith MD Chief Executive Officer 140 WILDHURST RD, EXCELSIOR, MN 55331–8421, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2006-11-06
Business Corporation (Domestic) Business Name (Business Name: Cervical Spine Specialists, P.A.) 1999-10-26
Original Filing - Business Corporation (Domestic) 1999-08-05
Business Corporation (Domestic) Business Name (Business Name: Twin Cities Spinal Surgical Consultants, P.A.) 1999-08-05
Original Filing - Business Corporation (Domestic)Professional Service - Medicine & Surgery 1999-08-05

Related by officers

No related officers

Related by address

7261 Ohms Ln, Edina, MN 55439, USA

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Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website

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