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Lakeview Medical Clinic, P.A.

Company Details

Name: Lakeview Medical Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 14 Nov 1994 (30 years ago)
Company Number: 12fa3173-9dd4-e011-a886-001ec94ffe7f
File Number: 8L-405
Registered Office Address: 433 Elm Str N, Sauk Centre, MN 56378, USA
Principal Executive Office Address: 433 Elm Str N, Sauk Centre, MN 56378, usa
ZIP code: 56378
County: Stearns County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKEVIEW MEDICAL CLINIC, P.A. PROFIT SHARING 401K PLAN 2011 411795979 2012-05-22 LAKEVIEW MEDICAL CLINIC, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Plan sponsor’s address 433 ELM ST N, SAUK CENTRE, MN, 563781052

Plan administrator’s name and address

Administrator’s EIN 411795979
Plan administrator’s name LAKEVIEW MEDICAL CLINIC, P.A.
Plan administrator’s address 433 ELM ST N, SAUK CENTRE, MN, 563781052
Administrator’s telephone number 3203526591

Signature of

Role Plan administrator
Date 2012-05-22
Name of individual signing MIKE FLICKER
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW MEDICAL CLINIC, P.A. PROFIT SHARING 401K PLAN 2011 411795979 2012-05-03 LAKEVIEW MEDICAL CLINIC, P.A. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 3203526591
Plan sponsor’s address 433 ELM ST N, SAUK CENTRE, MN, 563781052

Plan administrator’s name and address

Administrator’s EIN 411795979
Plan administrator’s name LAKEVIEW MEDICAL CLINIC, P.A.
Plan administrator’s address 433 ELM ST N, SAUK CENTRE, MN, 563781052
Administrator’s telephone number 3203526591

Signature of

Role Plan administrator
Date 2012-05-03
Name of individual signing MIKE FLICKER
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW MEDICAL CLINIC, P.A. PROFIT SHARING 401K PLAN 2010 411795979 2011-07-25 LAKEVIEW MEDICAL CLINIC, P.A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 3203526591
Plan sponsor’s address 433 ELM ST N, SAUK CENTRE, MN, 563781052

Plan administrator’s name and address

Administrator’s EIN 411795979
Plan administrator’s name LAKEVIEW MEDICAL CLINIC, P.A.
Plan administrator’s address 433 ELM ST N, SAUK CENTRE, MN, 563781052
Administrator’s telephone number 3203526591

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing TOM FLUGAUR
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Ulrika Wigert Chief Executive Officer 18470 Ada Drive, Sauk Centre, MN 56378, usa

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2016-03-14
Original Filing - Business Corporation (Domestic) (Business Name: Lakeview Medical Clinic, P.A.)Professional Service - Medicine & Surgery 1994-11-14

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website