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  5. Team Spine Minnesota, LLC

Team Spine Minnesota, LLC

Company Details

Name: Team Spine Minnesota, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Foreign)
Status: Inactive
Date formed: 27 Dec 2012 (12 years ago)
Company Number: 22722e64-0251-e211-bc43-001ec94ffe7f
File Number: 635303000023
Registered Office Address: 5353 Gamble Drv #202, St Louis Park, MN 55416, USA
Principal Executive Office Address: 5353 Gamble Dr, Ste 202, St Louis Park, MN 55416, USA
ZIP code: 55416
County: Hennepin County
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TEAM SPINE MINNESOTA, LLC 401(K) PLAN 2017 461656916 2019-08-30 TEAM SPINE MINNESOTA, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9526975095
Plan sponsor’s address 1500 TAMARACK DR, LONG LAKE, MN, 553569514

Signature of
Role Plan administrator
Date 2019-08-30
Name of individual signing TIM HEALY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-30
Name of individual signing TIM HEALY
Valid signature Filed with authorized/valid electronic signature
TEAM SPINE MINNESOTA, LLC 401(K) PLAN 2016 461656916 2017-08-29 TEAM SPINE MINNESOTA, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9526975095
Plan sponsor’s address 5353 GAMBLE DR, STE 202, ST LOUIS PARK, MN, 554161543

Signature of
Role Plan administrator
Date 2017-08-29
Name of individual signing TIMOTHY HEALY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-29
Name of individual signing TIMOTHY HEALY
Valid signature Filed with authorized/valid electronic signature
TEAM SPINE MINNESOTA, LLC 401(K) PLAN 2015 461656916 2016-06-27 TEAM SPINE MINNESOTA, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9526975095
Plan sponsor’s address 5353 GAMBLE DR, STE 202, ST LOUIS PARK, MN, 554161543

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing TIMOTHY HEALY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-27
Name of individual signing TIMOTHY HEALY
Valid signature Filed with authorized/valid electronic signature
TEAM SPINE MINNESOTA, LLC 401(K) PLAN 2014 461656916 2015-09-18 TEAM SPINE MINNESOTA, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9526975095
Plan sponsor’s address 5353 GAMBLE DR, STE 202, ST LOUIS PARK, MN, 554161543

Signature of
Role Plan administrator
Date 2015-09-18
Name of individual signing KYLE SHERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-18
Name of individual signing KYLE SHERWIN
Valid signature Filed with authorized/valid electronic signature
TEAM SPINE MINNESOTA INC 401K PLAN 2013 461656916 2014-07-02 TEAM SPINE MINNESOTA, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541990
Sponsor’s telephone number 9526975095
Plan sponsor’s address 5353 GAMBLE DR STE 202, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing KYLE SHERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-02
Name of individual signing KYLE SHERWIN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Timothy J Healy Manager 5353 Gamble Dr, Ste 202, St Louis Park, MN 55416, USA

Agent

Name Role
TSM Holdings Inc Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Foreign) 2018-01-01
Revocation - Limited Liability Company (Foreign) 2015-06-12
Original Filing - Limited Liability Company (Foreign) (Business Name: Team Spine Minnesota, LLC) 2012-12-27

Related by officers

Timothy J Healy

Team Spine Interventional of Minnesota, Inc. Team Spine Interventional of Minnesota, Inc. Trinity Spine, Inc.

Related by address

5353 Gamble Drv #202, St Louis Park, MN 55416, USA

Team Spine Team Spine-Minnesota, Inc. Trinity Orthopedics, Inc. Trinity Orthopedics, LLC Trinity Spine, Inc. Trinity Spine, LLC TSM Holdings, Inc.

Date of last update: 07 Jan 2025

Sources: Minnesota's Official State Website

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