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L. Ashley Whitesell Medical Locums, Ltd.

Company Details

Name: L. Ashley Whitesell Medical Locums, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 30 Nov 1989 (35 years ago)
Company Number: 1bf13975-9fd4-e011-a886-001ec94ffe7f
File Number: 6M-517
Registered Office Address: 1630 Anderson Ave #100 Whitesell Medcl, Buffalo, MN 55313, USA
Principal Executive Office Address: 360 Lake Dr. East, P.O BOX 997, Annandale, MN 55302, USA
ZIP code: 55313
County: Wright County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 401(K) PROFIT SHARING PLAN 2021 411654726 2022-12-21 L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 7636825906
Plan sponsor’s address 360 LAKE DRIVE EAST, ANNANDALE, MN, 55302

Signature of

Role Plan administrator
Date 2022-12-21
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-21
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature
L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 401(K) PROFIT SHARING PLAN 2021 411654726 2022-06-23 L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 7636825906
Plan sponsor’s address 360 LAKE DRIVE EAST, ANNANDALE, MN, 55302

Signature of

Role Plan administrator
Date 2022-06-17
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-17
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature
L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 401(K) PROFIT SHARING PLAN 2020 411654726 2021-07-06 L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 7636825906
Plan sponsor’s address 360 LAKE DRIVE EAST, ANNANDALE, MN, 55302

Signature of

Role Plan administrator
Date 2021-07-06
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-06
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature
L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 401(K) PROFIT SHARING PLAN & TRUST 2019 411654726 2020-09-23 L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 7636825906
Plan sponsor’s address 360 LAKE DRIVE EAST, ANNANDALE, MN, 55302

Signature of

Role Plan administrator
Date 2020-09-23
Name of individual signing TIM WHITESELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-23
Name of individual signing TIM WHITESELL
Valid signature Filed with authorized/valid electronic signature
L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 401(K) PROFIT SHARING PLAN & TRUST 2018 411654726 2019-09-17 L. ASHLEY WHITESELL MEDICAL LOCUMS, LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 7636825906
Plan sponsor’s address 360 LAKE DRIVE EAST, ANNANDALE, MN, 55302

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing TIMOTHY WHITESELL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Timothy Whitesell Chief Executive Officer P.O Box 997, Annandale, MN 55302, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2006-05-15
Administrative Dissolution - Business Corporation (Domestic) 2006-01-17
Registered Office and/or Agent - Business Corporation (Domestic) 1993-04-12
Business Corporation (Domestic) Restated Articles 1993-04-12
Original Filing - Business Corporation (Domestic) 1989-11-30
Business Corporation (Domestic) Business Name (Business Name: L. Ashley Whitesell Medical Locums, Ltd.) 1989-11-30

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website