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  5. Lake Administrative Services, Inc.

Lake Administrative Services, Inc.

Company Details

Name: Lake Administrative Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 29 Jul 2008 (16 years ago)
Company Number: 2c48d148-92d4-e011-a886-001ec94ffe7f
File Number: 2949120-2
Registered Office Address: 5900 Hwy 61, White Bear Lake, MN 55110, USA
Principal Executive Office Address: 5900 HIGHWAY 61, WHITE BEAR LAKE, MN 55110–5511, United States
ZIP code: 55110
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE ANIMAL HOSPITAL 401K PLAN 2017 263076101 2018-08-08 LAKE ADMINISTRATIVE SERVICES 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2018-08-08
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2016 263076101 2017-07-17 LAKE ADMINISTRATIVE SERVICES 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2015 263076101 2016-07-22 LAKE ADMINISTRATIVE SERVICES 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2014 263076101 2015-06-30 LAKE ADMINISTRATIVE SERVICES 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2013 263076101 2014-07-18 LAKE ADMINISTRATIVE SERVICES 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2012 263076101 2013-08-06 LAKE ADMINISTRATIVE SERVICES 14
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2013-08-06
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2012 263076101 2013-09-30 LAKE ADMINISTRATIVE SERVICES 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2011 263076101 2012-11-12 LAKE ADMINISTRATIVE SERVICES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Plan administrator’s name and address
Administrator’s EIN 263076101
Plan administrator’s name LAKE ADMINISTRATIVE SERVICES
Plan administrator’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110
Administrator’s telephone number 6514261381

Signature of
Role Plan administrator
Date 2012-11-12
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2011 263076101 2012-10-24 LAKE ADMINISTRATIVE SERVICES 12
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Plan administrator’s name and address
Administrator’s EIN 263076101
Plan administrator’s name LAKE ADMINISTRATIVE SERVICES
Plan administrator’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110
Administrator’s telephone number 6514261381

Signature of
Role Plan administrator
Date 2012-10-24
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature
LAKE ANIMAL HOSPITAL 401K PLAN 2010 263076101 2011-07-11 LAKE ADMINISTRATIVE SERVICES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541940
Sponsor’s telephone number 6514261381
Plan sponsor’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110

Plan administrator’s name and address
Administrator’s EIN 263076101
Plan administrator’s name LAKE ADMINISTRATIVE SERVICES
Plan administrator’s address 5900 HWY BLVD, WHITE BEAR LAKE, MN, 55110
Administrator’s telephone number 6514261381

Signature of
Role Plan administrator
Date 2011-07-11
Name of individual signing AMY KRUCHOWSKI
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Amy Kruchowski Phillips Chief Executive Officer 5900 Hwy 61 N, White Bear Lake, MN 55110–2370, USA

Filing

Filing Name Filing date
Merger Non Survivor - Business Corporation (Domestic) 2023-12-31
Annual Reinstatement - Business Corporation (Domestic) 2018-05-03
Administrative Dissolution - Business Corporation (Domestic) 2018-03-13
Business Corporation (Domestic) Business Name (Business Name: Lake Administrative Services, Inc.) 2008-08-06
Original Filing - Business Corporation (Domestic) 2008-07-29
Business Corporation (Domestic) Business Name (Business Name: Lake Administration Services, Inc.) 2008-07-29

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Related by address

5900 Hwy 61, White Bear Lake, MN 55110, USA

Lake Animal Hospital

Date of last update: 14 Jan 2025

Sources: Minnesota's Official State Website

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