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  5. Associated Nephrology Consultants, P.A.

Associated Nephrology Consultants, P.A.

Company Details

Name: Associated Nephrology Consultants, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Oct 1980 (44 years ago)
Company Number: 11c422d9-afd4-e011-a886-001ec94ffe7f
File Number: 3T-311
Registered Office Address: 360 Sherman Str #250, St Paul, MN 55102, USA
Principal Executive Office Address: 2854 Hwy 55, Suite 130, St Paul, MN 55121, 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
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2023 411391635 2024-10-03 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing TRAVIS FORGEY
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2022 411391635 2023-08-01 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 2854 HIGHWAY 55 STE 130, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2023-08-01
Name of individual signing TRAVIS FORGEY
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2019 411391635 2020-10-14 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 1997 SLOAN PLACE SUITE 17, MAPLEWOOD, MN, 55117

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing TRAVIS FORGEY
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2018 411391635 2019-07-17 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 1997 SLOAN PLACE SUITE 17, MAPLEWOOD, MN, 55117

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2017 411391635 2018-09-04 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 1997 SLOAN PLACE SUITE 17, MAPLEWOOD, MN, 55117

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2016 411391635 2017-07-24 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 1997 SLOAN PLACE SUITE 17, MAPLEWOOD, MN, 55117

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2015 411391635 2016-07-06 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 360 SHERMAN STREET, SUITE 250, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2014 411391635 2015-07-01 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 360 SHERMAN STREET SUITE 250, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2013 411391635 2014-07-02 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 360 SHERMAN STREET STE. 250, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 401(K) PLAN 2011 411391635 2012-10-02 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6517726251
Plan sponsor’s address 360 SHERMAN STREET STE. 250, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 411391635
Plan administrator’s name ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.
Plan administrator’s address 360 SHERMAN STREET STE. 250, ST. PAUL, MN, 55102
Administrator’s telephone number 6517726251

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing DAVID HUSEBYE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Shannon Doyle Chief Executive Officer 2854 Hwy 55, Sutie 130, St Paul, MN 55121, USA

Agent

Name Role
David G Husebye Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1988-10-20
Business Corporation (Domestic) Business Name (Business Name: Associated Nephrology Consultants, P.A.) 1984-04-18
Original Filing - Business Corporation (Domestic) 1980-10-16
Business Corporation (Domestic) Business Name (Business Name: Thomas N. Braxtan, M.D., P.A.) 1980-10-16

Related by officers

Shannon Doyle

DOCSWAG Teles, LLC DOCSWAG AXIOS, LLC

Related by address

360 Sherman Str #250, St Paul, MN 55102, USA

Affiliated Cardiovascular Consultants, Inc., P. A. Infectious Disease Home Care Company Internal Medicine Associates GRK CONSULTANTS, INC. Fort Road Medical Specialists, L.L.P. INTERNAL MEDICINE ASSOCIATES, P.A. St. Paul Area Renal Services, Inc.

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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