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Capitol Surgery, PLLC

Company Details

Name: Capitol Surgery, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 19 Jan 2006 (19 years ago)
Company Number: 0e4036ea-8cd4-e011-a886-001ec94ffe7f
File Number: 1677288-2
Registered Office Address: 12149 Quail Ave N, Stillwater, MN 55082, USA
Principal Executive Office Address: 514 St.Peter Street, Suite 250, St.paul, MN 55102, USA
ZIP code: 55082
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPITOL SURGERY, PLLC 2012 204138713 2013-08-14 CAPITOL SURGERY, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2013-08-14
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with authorized/valid electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2012 204138713 2013-06-13 CAPITOL SURGERY, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2013-06-13
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with authorized/valid electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2011 204138713 2012-06-18 CAPITOL SURGERY, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2012-06-18
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with authorized/valid electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2010 204138713 2011-05-20 CAPITOL SURGERY, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2011-05-20
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with authorized/valid electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2009 204138713 2010-08-26 CAPITOL SURGERY, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2010-08-26
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with authorized/valid electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2009 204138713 2010-08-26 CAPITOL SURGERY, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2010-08-26
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with incorrect/unrecognized electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2009 204138713 2010-08-26 CAPITOL SURGERY, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2010-08-26
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with incorrect/unrecognized electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2009 204138713 2010-08-26 CAPITOL SURGERY, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2010-08-26
Name of individual signing BARBARA STEINBRUNN
Valid signature Filed with incorrect/unrecognized electronic signature
CAPITOL SURGERY, PLLC 401(K) P/S PLAN 2009 204138713 2010-08-26 CAPITOL SURGERY, PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6513519488
Plan sponsor’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 204138713
Plan administrator’s name CAPITOL SURGERY, PLLC
Plan administrator’s address 12149 QUAIL AVENUE N, STILLWATER, MN, 55082
Administrator’s telephone number 6513519488

Signature of

Role Plan administrator
Date 2010-08-26
Name of individual signing BARBARA SCHMIDT STEINBRUNN
Valid signature Filed with incorrect/unrecognized electronic signature

Manager

Name Role Address
Aneta Bizek Manager 514 St.Peter Street, Suite 250, St.Paul, MN 55102, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Administrative Termination Name Hold Release - Limited Liability Company (Domestic) 2014-02-28
Administrative Termination - Limited Liability Company (Domestic) 2013-02-26
Original Filing - Limited Liability Company (Domestic) 2006-01-19
Limited Liability Company (Domestic) Business Name (Business Name: Capitol Surgery, PLLC) 2006-01-19

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website