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USTA NORTHERN

Company Details

Name: USTA NORTHERN
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 May 1990 (35 years ago)
Company Number: 2e579f5e-b2d4-e011-a886-001ec94ffe7f
File Number: 1E-798
Registered Office Address: 2685 Vikings Circle, Suite 100, Eagan, MN 55121, USA
ZIP code: 55121
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF USTA NORTHERN 2023 411675510 2024-10-04 USTA NORTHERN 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9528875001
Plan sponsor’s address 2685 VIKINGS CIR STE 100, EAGAN, MN, 551211000

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing VANESSA SEXTON
Valid signature Filed with authorized/valid electronic signature
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF USTA NORTHERN 2022 411675510 2023-07-06 USTA NORTHERN 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9528875001
Plan sponsor’s address 2685 VIKINGS CIR STE 100, EAGAN, MN, 551211000

Signature of

Role Plan administrator
Date 2023-07-06
Name of individual signing VANESSA SEXTON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF USTA NORTHERN 2021 411675510 2022-06-01 USTA NORTHERN 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9528875001
Plan sponsor’s address 2685 VIKINGS CIR STE 100, EAGAN, MN, 551211000

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing VANESSA SEXTON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF USTA NORTHERN 2020 411675510 2021-03-17 USTA NORTHERN 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9528875001
Plan sponsor’s address 2685 VIKINGS CIR STE 100, EAGAN, MN, 551211000

Signature of

Role Plan administrator
Date 2021-03-17
Name of individual signing VANESSA SEXTON
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF USTA NORTHERN 2019 411675510 2020-06-10 USTA NORTHERN 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9528875001
Plan sponsor’s address 2685 VIKINGS CIRCLE STE 100, EAGAN, MN, 551211000

Signature of

Role Plan administrator
Date 2020-06-10
Name of individual signing VANESSA SEXTON
Valid signature Filed with authorized/valid electronic signature
USTA NORTHERN 401K PLAN 2018 411675510 2019-07-26 USTA NORTHERN 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9523583281
Plan sponsor’s address 1001 W 98TH ST STE 101, BLOOMINGTON, MN, 554312654

Signature of

Role Plan administrator
Date 2019-07-26
Name of individual signing VANESSA SEXTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing VANESSA SEXTON
Valid signature Filed with authorized/valid electronic signature
USTA NORTHERN 401(K) P/S PLAN 2017 411675510 2018-06-04 USTA NORTHERN 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9523583281
Plan sponsor’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431

Plan administrator’s name and address

Administrator’s EIN 411675510
Plan administrator’s name USTA NORTHERN
Plan administrator’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431
Administrator’s telephone number 9523583281

Signature of

Role Plan administrator
Date 2018-06-04
Name of individual signing JAMES POEHLER
Valid signature Filed with authorized/valid electronic signature
USTA NORTHERN 401(K) P/S PLAN 2016 411675510 2017-06-28 USTA NORTHERN 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9523583281
Plan sponsor’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431

Plan administrator’s name and address

Administrator’s EIN 411675510
Plan administrator’s name USTA NORTHERN
Plan administrator’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431
Administrator’s telephone number 9523583281

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing MIKE GOLDAMMER
Valid signature Filed with authorized/valid electronic signature
USTA NORTHERN 401(K) P/S PLAN 2015 411675510 2016-06-30 USTA NORTHERN 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9523583281
Plan sponsor’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431

Plan administrator’s name and address

Administrator’s EIN 411675510
Plan administrator’s name USTA NORTHERN
Plan administrator’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431
Administrator’s telephone number 9523583281

Signature of

Role Plan administrator
Date 2016-06-30
Name of individual signing JAMES POEHLER
Valid signature Filed with authorized/valid electronic signature
USTA NORTHERN 401(K) P/S PLAN 2014 411675510 2015-07-13 USTA NORTHERN 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 713900
Sponsor’s telephone number 9523583281
Plan sponsor’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431

Plan administrator’s name and address

Administrator’s EIN 411675510
Plan administrator’s name USTA NORTHERN
Plan administrator’s address 1001 WEST 98TH STREET, SUITE 101, BLOOMINGTON, MN, 55431
Administrator’s telephone number 9523583281

Signature of

Role Plan administrator
Date 2015-07-13
Name of individual signing MIKE GOLDAMMER
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Matt Boughton President S 7515 Ridgewood Drive, Eau Claire, WI 54701, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2020-07-16
Annual Reinstatement - Nonprofit Corporation (Domestic) 2019-06-06
Merger Survivor - Nonprofit Corporation (Domestic) (Business Name: USTA NORTHERN) 2011-12-05
Nonprofit Corporation (Domestic) Business Name (Business Name: Northern Tennis Foundation) 2009-05-20
Nonprofit Corporation (Domestic) Other 2004-05-10
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2002-04-17
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 1998-08-05
Original Filing - Nonprofit Corporation (Domestic) 1990-05-16
Nonprofit Corporation (Domestic) Business Name (Business Name: Friends of Tennis, Inc.) 1990-05-16

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website