| Name: | South Hyland Pet Hospital |
| Jurisdiction: | Minnesota |
| Legal type: | Assumed Name |
| Status: | Inactive |
| Date formed: | 25 Jun 2009 (16 years ago) |
| Company Number: | 12b28139-94d4-e011-a886-001ec94ffe7f |
| File Number: | 3392154-2 |
| Principal Place of Business Address: | 5400 W Old Shakopee Rd, Blmgtn, MN 55437, USA |
| ZIP code: | 55437 |
| County: | Hennepin County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH HYLAND PET HOSPITAL 401(K) PLAN | 2009 | 411955866 | 2010-09-13 | SOUTH HYLAND PET HOSPITAL | 12 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 411955866 |
| Plan administrator’s name | SOUTH HYLAND PET HOSPITAL |
| Plan administrator’s address | 5400 WEST OLD SHAKOPEE ROAD, BLOOMINGTON, MN, 55437 |
| Administrator’s telephone number | 9528841868 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-13 |
| Name of individual signing | NIKKI BURK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-13 |
| Name of individual signing | NIKKI BURK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 9528841868 |
| Plan sponsor’s address | 5400 WEST OLD SHAKOPEE ROAD, BLOOMINGTON, MN, 55437 |
Plan administrator’s name and address
| Administrator’s EIN | 410978542 |
| Plan administrator’s name | HOFFMAN & BROBST, PLLP |
| Plan administrator’s address | 903 EAST COLLEGE DRIVE-BOX 548, MARSHALL, MN, 56258 |
| Administrator’s telephone number | 5075325735 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-02 |
| Name of individual signing | NIKKI BURK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-02 |
| Name of individual signing | NIKKI BURK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Burk and Leslie Partnership | Aplicant | 5400 W Old Shakopee Rd, Blmgtn, MN 55437 |
| Filing Name | Filing date |
|---|---|
| Expired - Assumed Name | 2019-06-26 |
| Original Filing - Assumed Name (Business Name: South Hyland Pet Hospital) | 2009-06-25 |
Date of last update: 09 Jan 2025
Sources: Minnesota's Official State Website
