Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Dakota County
    4. ›
  4. 55337
    5. ›
  5. BURNSVILLE FAMILY PHYSICIANS, P.A.

BURNSVILLE FAMILY PHYSICIANS, P.A.

Company Details

Name: BURNSVILLE FAMILY PHYSICIANS, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 19 Feb 1982 (43 years ago)
Company Number: 1eeeb553-a2d4-e011-a886-001ec94ffe7f
File Number: 4B-412
Registered Office Address: 625 E Nicollet Blvd #100, Burnsville, MN 55337–6734, USA
ZIP code: 55337
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2017 411420053 2018-06-28 BURNSVILLE FAMILY PHYSICIANS, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337
BURNSVILLE FAMILY PHYSICIANS, PA 401(K) PROFIT SHARING PLAN 2017 411420053 2018-08-13 BURNSVILLE FAMILY PHYSICIANS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2016 411420053 2017-07-13 BURNSVILLE FAMILY PHYSICIANS, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2015 411420053 2016-05-09 BURNSVILLE FAMILY PHYSICIANS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2014 411420053 2015-10-01 BURNSVILLE FAMILY PHYSICIANS, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2013 411420053 2014-07-16 BURNSVILLE FAMILY PHYSICIANS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2012 411420053 2013-08-13 BURNSVILLE FAMILY PHYSICIANS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2013-08-13
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2011 411420053 2012-08-29 BURNSVILLE FAMILY PHYSICIANS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411420053
Plan administrator’s name BURNSVILLE FAMILY PHYSICIANS, P.A.
Plan administrator’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524350303

Signature of
Role Plan administrator
Date 2012-08-29
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2010 411420053 2011-05-16 BURNSVILLE FAMILY PHYSICIANS, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411420053
Plan administrator’s name BURNSVILLE FAMILY PHYSICIANS, P.A.
Plan administrator’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524350303

Signature of
Role Plan administrator
Date 2011-05-16
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-16
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature
BURNSVILLE FAMILY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2009 411420053 2010-07-14 BURNSVILLE FAMILY PHYSICIANS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621111
Sponsor’s telephone number 9524350303
Plan sponsor’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411420053
Plan administrator’s name BURNSVILLE FAMILY PHYSICIANS, P.A.
Plan administrator’s address 625 EAST NICOLLET, SUITE 100, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524350303

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHELLE TURNER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
James Clark Chief Executive Officer 625 E Nicollet Blvd #100, Burnsville, MN 55337–6734, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2018-12-17
Intent to Dissolve - Business Corporation (Domestic) 2018-08-31
Registered Office and/or Agent - Business Corporation (Domestic) 2003-01-08
Original Filing - Business Corporation (Domestic) 1982-02-19
Business Corporation (Domestic) Business Name (Business Name: BURNSVILLE FAMILY PHYSICIANS, P.A.) 1982-02-19

Related by officers

James Clark

ACCEL-PCS AMIGOS RESTAURANT, INC. CLUBZ FITNESS L. L. C. Dream Capsule, LLC Clark - Pro Painting, Inc. J & B TACK & WESTERN WEAR, INC. J-n-E Computing Solutions, LLC GoGlowe, Inc. Cool New Productions L. L. C.

Related by address

625 E Nicollet Blvd #100, Burnsville, MN 55337–6734, USA

Nroca, LLC

Date of last update: 18 Dec 2024

Sources: Minnesota's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 mnprof.com, Part of Big Data Integrated