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  5. Paul Larson OB-GYN Clinic, P.A.

Paul Larson OB-GYN Clinic, P.A.

Company Details

Name: Paul Larson OB-GYN Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 24 Sep 1962 (62 years ago)
Company Number: 39cbb09f-99d4-e011-a886-001ec94ffe7f
File Number: 1C-381
Registered Office Address: 6525 France Ave S #100, Edina, MN 55435, USA
ZIP code: 55435
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAUL LARSON OB-GYN CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2015 410853872 2016-04-29 PAUL LARSON OB-GYN CLINIC, P.A. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1963-09-02
Business code 621111
Sponsor’s telephone number 9522856180
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 554352103

Signature of
Role Plan administrator
Date 2016-04-29
Name of individual signing DARVIA K. HEROLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-29
Name of individual signing DARVIA K. HEROLD
Valid signature Filed with authorized/valid electronic signature
PAUL LARSON OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2014 410853872 2016-04-19 PAUL LARSON OB-GYN CLINIC, P.A. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1963-09-02
Business code 621111
Sponsor’s telephone number 9522856180
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 554352103

Signature of
Role Plan administrator
Date 2016-04-19
Name of individual signing DARVIA K. HEROLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-19
Name of individual signing DARVIA K. HEROLD
Valid signature Filed with authorized/valid electronic signature
PAUL LARSON OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2013 410853872 2014-12-29 PAUL LARSON OB-GYN CLINIC, P.A. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1963-09-02
Business code 621111
Sponsor’s telephone number 9522856180
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 554352103

Signature of
Role Plan administrator
Date 2014-12-29
Name of individual signing DARVIA K. HEROLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-29
Name of individual signing DARVIA K. HEROLD
Valid signature Filed with authorized/valid electronic signature
PAUL LARSON OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2012 410853872 2014-02-10 PAUL LARSON OB-GYN CLINIC, P.A. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1963-09-02
Business code 621111
Sponsor’s telephone number 9522856180
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 554352103

Signature of
Role Plan administrator
Date 2014-02-10
Name of individual signing DARVIA K HEROLD
Valid signature Filed with authorized/valid electronic signature
PAUL LARSON OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2011 410853872 2013-04-18 PAUL LARSON OB-GYN CLINIC, P.A. 43
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1963-09-02
Business code 621111
Sponsor’s telephone number 9522856180
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 554352103

Plan administrator’s name and address
Administrator’s EIN 410853872
Plan administrator’s name PAUL LARSON OB-GYN CLINIC, P.A.
Plan administrator’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 554352103
Administrator’s telephone number 9522856180

Signature of
Role Plan administrator
Date 2013-04-18
Name of individual signing DARVIA HEROLD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-18
Name of individual signing DARVIA HEROLD
Valid signature Filed with authorized/valid electronic signature
PAUL LARSON OB-GYN CLINIC, P.A. 401 (K) PROFIT 2009 410853872 2010-08-02 PAUL LARSON OB-GYN CLINIC, P.A. No data
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1963-09-02
Plan sponsor’s mailing address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 55435
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 410853872
Plan administrator’s name PAUL LARSON OB-GYN CLINIC, P.A.
Plan administrator’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 55435
PAUL LARSON OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2009 410853872 2010-07-01 PAUL LARSON OB-GYN CLINIC, P.A. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1963-09-02
Business code 621111
Sponsor’s telephone number 9529274021
Plan sponsor’s mailing address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 55435
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 410853872
Plan administrator’s name PAUL LARSON OB-GYN CLINIC, P.A.
Plan administrator’s address 6525 FRANCE AVENUE SOUTH, SUITE 100, EDINA, MN, 55435
Administrator’s telephone number 9529274021

Number of participants as of the end of the plan year
Active participants 39
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing DARVIA HEROLD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Martin Immerman Chief Executive Officer 6525 France Ave S #100, Edina, MN 55435, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2016-09-19
Intent to Dissolve - Business Corporation (Domestic) 2016-06-14
Registered Office and/or Agent - Business Corporation (Domestic) 1971-05-17
Amendment - Business Corporation (Domestic) 1969-10-28
Business Corporation (Domestic) Restated Articles 1969-10-21
Business Corporation (Domestic) Business Name (Business Name: Paul Larson OB-GYN Clinic, P.A.) 1966-09-12
Original Filing - Business Corporation (Domestic) 1962-09-24
Business Corporation (Domestic) Business Name (Business Name: Woman's Clinic, P.A.) 1962-09-24

Related by officers

No related officers

Related by address

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Date of last update: 04 Jan 2025

Sources: Minnesota's Official State Website

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