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Western OB-GYN, Ltd.

Company Details

Name: Western OB-GYN, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 28 Mar 2013 (12 years ago)
Company Number: 1ed6f7a3-d697-e211-82ac-001ec94ffe7f
File Number: 663907600027
Registered Office Address: 560 South Maple Street, #130, Waconia, MN 55387, USA
Principal Executive Office Address: 560 S Maple Street, Suite 130, Waconia, MN 55387, USA
ZIP code: 55387
County: Carver County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2023 411247510 2024-04-22 WESTERN OB-GYN, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 SOUTH MAPLE STREET, SUITE 130, WACONIA, MN, 55387

Signature of

Role Plan administrator
Date 2024-04-19
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-19
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2022 411247510 2023-03-15 WESTERN OB-GYN, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 SOUTH MAPLE STREET, SUITE 130, WACONIA, MN, 55387

Signature of

Role Plan administrator
Date 2023-03-15
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-15
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2021 411247510 2022-06-27 WESTERN OB-GYN, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 SOUTH MAPLE STREET, SUITE 130, WACONIA, MN, 55387

Signature of

Role Plan administrator
Date 2022-06-24
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-24
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2020 411247510 2021-08-25 WESTERN OB-GYN, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 SOUTH MAPLE STREET, SUITE 130, WACONIA, MN, 55387

Signature of

Role Plan administrator
Date 2021-08-19
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-19
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2019 411247510 2020-09-29 WESTERN OB-GYN, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 SOUTH MAPLE STREET, SUITE 130, WACONIA, MN, 55387

Signature of

Role Plan administrator
Date 2020-09-29
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-29
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2018 411247510 2019-07-08 WESTERN OB-GYN, LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 SOUTH MAPLE STREET, SUITE 130, WACONIA, MN, 55387

Signature of

Role Plan administrator
Date 2019-07-05
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-05
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2017 411247510 2018-10-25 WESTERN OB-GYN, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 S MAPLE ST, WACONIA, MN, 553871733

Signature of

Role Plan administrator
Date 2018-10-25
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-25
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2017 411247510 2018-10-11 WESTERN OB-GYN, LTD. 12
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 S MAPLE ST, WACONIA, MN, 553871733

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2016 411247510 2017-08-31 WESTERN OB-GYN, LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 S MAPLE ST, WACONIA, MN, 553871733

Signature of

Role Plan administrator
Date 2017-08-31
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-31
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
WESTERN OB-GYN, LTD. PROFIT SHARING PLAN 2015 411247510 2016-09-29 WESTERN OB-GYN, LTD. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-05-02
Business code 621111
Sponsor’s telephone number 9528564030
Plan sponsor’s address 560 S MAPLE ST, WACONIA, MN, 553871733

Signature of

Role Plan administrator
Date 2016-09-29
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-29
Name of individual signing LAURA SYNSTEGAARD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Rebecca L. Baudoin Chief Executive Officer 560 S Maple Street, Suite 130, Waconia, MN 55387, USA

Agent

Name Role
Andraya J. Huldeen-Tibbetts, M.D. Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2023-08-24
Annual Reinstatement - Business Corporation (Domestic) 2017-04-18
Registered Office and/or Agent - Business Corporation (Domestic) 2017-04-18
Administrative Dissolution - Business Corporation (Domestic) 2017-02-27
Amendment - Business Corporation (Domestic) (Business Name: Western OB-GYN, Ltd.) 2013-04-05
Original Filing - Business Corporation (Domestic) (Business Name: Western OB-GYN Ltd.)Professional Service - Medicine & Surgery 2013-03-28

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website