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Northern Eye Center, P.A.

Company Details

Name: Northern Eye Center, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 22 Oct 1971 (53 years ago)
Company Number: 1d487dd8-a8d4-e011-a886-001ec94ffe7f
File Number: 2A-622
Registered Office Address: 2020 S 6th Str, Brainerd, MN 56401, USA
Principal Executive Office Address: 2020 S 6th Street, Brainerd, MN 56401–4595, USA
ZIP code: 56401
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2023 410977952 2024-06-12 NORTHERN EYE CENTER, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2024-06-12
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2022 410977952 2023-07-18 NORTHERN EYE CENTER, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2021 410977952 2022-10-14 NORTHERN EYE CENTER, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2020 410977952 2021-10-07 NORTHERN EYE CENTER, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2021-10-07
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2019 410977952 2020-08-11 NORTHERN EYE CENTER, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2020-08-11
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2018 410977952 2019-06-17 NORTHERN EYE CENTER, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2019-06-17
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2017 410977952 2018-07-23 NORTHERN EYE CENTER, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2016 410977952 2017-07-28 NORTHERN EYE CENTER, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing AMY HERBOLDT
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2015 410977952 2016-07-25 NORTHERN EYE CENTER, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing DEB SMITH
Valid signature Filed with authorized/valid electronic signature
NORTHERN EYE CENTER, P.A. PROFIT SHARING PLAN 2014 410977952 2015-07-15 NORTHERN EYE CENTER, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 2188292020
Plan sponsor’s address 2020 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing DEB SMITH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
David I Sabir Chief Executive Officer 2020 S 6TH ST, BRAINERD, MN 56401–4529, United States

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2020-04-01
Administrative Dissolution - Business Corporation (Domestic) 2020-02-20
Registered Office and/or Agent - Business Corporation (Domestic) 1981-11-20
Original Filing - Business Corporation (Domestic) 1971-10-22
Business Corporation (Domestic) Business Name (Business Name: Northern Eye Center, P.A.) 1971-10-22

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website