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  5. Central Minnesota Anesthesia Providers, P.A.

Central Minnesota Anesthesia Providers, P.A.

Company Details

Name: Central Minnesota Anesthesia Providers, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 07 Aug 2000 (24 years ago)
Company Number: 197e783f-9fd4-e011-a886-001ec94ffe7f
File Number: 11H-8
Registered Office Address: 911 Northland Drv, Princeton, MN 55371, USA
Principal Executive Office Address: 911 NORTHLAND DR, PRINCETON, MN 55371–2172, USA
ZIP code: 55371
County: Mille Lacs County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2023 411981876 2024-10-03 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2022 411981876 2023-09-22 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2021 411981876 2022-10-10 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2020 411981876 2021-09-14 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2019 411981876 2020-07-29 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 9
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2018 411981876 2019-07-26 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2017 411981876 2018-07-24 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2016 411981876 2017-09-25 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2015 411981876 2016-07-25 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-07-24
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature
CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 401(K) PROFIT SHARING PLAN 2014 411981876 2015-09-21 CENTRAL MINNESOTA ANESTHESIA PROVIDERS P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621399
Sponsor’s telephone number 7633896384
Plan sponsor’s mailing address PO BOX 4, PRINCETON, MN, 55371
Plan sponsor’s address 911 NORTHLAND DRIVE, PRINCETON, MN, 55371

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-09-21
Name of individual signing PHILIP WAGNER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Bradley V. Culver Chief Executive Officer 911 NORTHLAND DR, PRINCETON, MN 55371–2172, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Central Minnesota Anesthesia Providers, P.A.)Professional Service - Registered Nursing 2000-08-07

Related by officers

No related officers

Related by address

911 Northland Drv, Princeton, MN 55371, USA

Fairview Northland Pharmacy - Princeton Fairview Northland Regional Health Care Fairview Northland Regional Hospital

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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