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Pediatric Surgical Associates, Ltd.

Company Details

Name: Pediatric Surgical Associates, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 27 May 1963 (62 years ago)
Company Number: 1bd919d3-afd4-e011-a886-001ec94ffe7f
File Number: 1D-738
Registered Office Address: 104 Medical Off Bldg 2545 Chicago Ave, Mpls, MN 55404, USA
Principal Executive Office Address: 2530 Chicago Avenue South, Suite 550, Mpls, MN 55404, USA
ZIP code: 55404
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2012 410870497 2013-04-30 PEDIATRIC SURGICAL ASSOCIATES, LTD. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1964-01-01
Business code 621111
Sponsor’s telephone number 6128138000
Plan sponsor’s mailing address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Plan sponsor’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404

Plan administrator’s name and address

Administrator’s EIN 410870497
Plan administrator’s name PEDIATRIC SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Administrator’s telephone number 6128138000

Number of participants as of the end of the plan year

Active participants 35
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 11
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 45
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of

Role Plan administrator
Date 2013-04-30
Name of individual signing PAUL LOUISELLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-30
Name of individual signing PAUL LOUISELLE
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2011 410870497 2012-08-17 PEDIATRIC SURGICAL ASSOCIATES, LTD. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1964-01-01
Business code 621111
Sponsor’s telephone number 6128138000
Plan sponsor’s mailing address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Plan sponsor’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404

Plan administrator’s name and address

Administrator’s EIN 410870497
Plan administrator’s name PEDIATRIC SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Administrator’s telephone number 6128138000

Number of participants as of the end of the plan year

Active participants 41
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
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 51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2012-08-17
Name of individual signing PAUL LOUISELLE
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2010 410870497 2011-06-10 PEDIATRIC SURGICAL ASSOCIATES, LTD. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1964-01-01
Business code 621111
Sponsor’s telephone number 6128138000
Plan sponsor’s mailing address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Plan sponsor’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404

Plan administrator’s name and address

Administrator’s EIN 410870497
Plan administrator’s name PEDIATRIC SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Administrator’s telephone number 6128138000

Number of participants as of the end of the plan year

Active participants 39
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 12
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 51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of

Role Plan administrator
Date 2011-06-10
Name of individual signing PAUL LOUISELLE
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2009 410870497 2010-04-16 PEDIATRIC SURGICAL ASSOCIATES, LTD. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1964-01-01
Business code 621111
Sponsor’s telephone number 6128138000
Plan sponsor’s mailing address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Plan sponsor’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404

Plan administrator’s name and address

Administrator’s EIN 410870497
Plan administrator’s name PEDIATRIC SURGICAL ASSOCIATES, LTD.
Plan administrator’s address 2530 CHICAGO AVE. SOUTH, SUITE 550, MINNEAPOLIS, MN, 55404
Administrator’s telephone number 6128138000

Number of participants as of the end of the plan year

Active participants 40
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
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 44
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of

Role Plan administrator
Date 2010-04-16
Name of individual signing KENNETH PALATTAO
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Paul Louiselle Chief Executive Officer 2530 Chicago Avenue South, Suite 550, Mpls, MN 55404, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2021-03-25
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Business Corporation (Domestic) Restated Articles 1996-11-27
Merger - Business Corporation (Domestic) 1991-06-28
Registered Office and/or Agent - Business Corporation (Domestic) 1973-05-01
Business Corporation (Domestic) Business Name (Business Name: Pediatric Surgical Associates, Ltd.) 1970-01-08
Original Filing - Business Corporation (Domestic) 1963-05-27
Business Corporation (Domestic) Business Name (Business Name: Chisholm, Spencer, McParland & Waldron, P.A.) 1963-05-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1380077206 2020-04-15 0508 PPP 2530 CHICAGO AVE Suite 550, MINNEAPOLIS, MN, 55404-4289
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1128500
Loan Approval Amount (current) 1128500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 52934
Servicing Lender Name Choice Financial Group
Servicing Lender Address 4501 23rd Ave South, FARGO, ND, 58104-8782
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MINNEAPOLIS, HENNEPIN, MN, 55404-4289
Project Congressional District MN-05
Number of Employees 53
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 52934
Originating Lender Name Choice Financial Group
Originating Lender Address FARGO, ND
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1135015.48
Forgiveness Paid Date 2021-02-12
3180558601 2021-03-16 0508 PPS 2530 Chicago Ave Ste 550, Minneapolis, MN, 55404-4293
Loan Status Date 2022-03-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 722579
Loan Approval Amount (current) 722579
Undisbursed Amount 0
Franchise Name -
Lender Location ID 52934
Servicing Lender Name Choice Financial Group
Servicing Lender Address 4501 23rd Ave South, FARGO, ND, 58104-8782
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Minneapolis, HENNEPIN, MN, 55404-4293
Project Congressional District MN-05
Number of Employees 48
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 52934
Originating Lender Name Choice Financial Group
Originating Lender Address FARGO, ND
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 729052.52
Forgiveness Paid Date 2022-02-17

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website