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  5. Minnesota Natural Medicine, P.A.

Minnesota Natural Medicine, P.A.

Company Details

Name: Minnesota Natural Medicine, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 12 Jul 2001 (24 years ago)
Company Number: 3d0475cf-abd4-e011-a886-001ec94ffe7f
File Number: 11S-916
Registered Office Address: 3485 Willow Lake Blvd #100, Vadnais Heights, MN 55110, USA
ZIP code: 55110
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINNESOTA NATURAL MEDICINE, P.. A PROFIT SHARING PLAN 2021 412012050 2022-07-14 MINNESOTA NATURAL MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153
Plan sponsor’s address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153

Number of participants as of the end of the plan year
Active participants 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing TODD ZABEL
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.. A PROFIT SHARING PLAN 2021 412012050 2022-07-14 MINNESOTA NATURAL MEDICINE, P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153
Plan sponsor’s address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153

Number of participants as of the end of the plan year
Active participants 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing TODD ZABEL
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.A. 2020 412012050 2021-03-09 MINNESOTA NATURAL MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153
Plan sponsor’s address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153

Number of participants as of the end of the plan year
Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of
Role Plan administrator
Date 2021-03-09
Name of individual signing JAMES DITTMER
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.A. PROFIT SHARING PLAN 2019 412012050 2020-02-29 MINNESOTA NATURAL MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BOULEVARD, SUITE 100, VADNAIS HEIGHTS, MN, 55110
Plan sponsor’s address 3485 WILLOW LAKE BOULEVARD, SUITE 100, VADNAIS HEIGHTS, MN, 55110

Number of participants as of the end of the plan year
Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of
Role Plan administrator
Date 2020-02-29
Name of individual signing JAMES DITTMER
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.A. PROFIT SHARING PLAN 2018 412012050 2019-03-02 MINNESOTA NATURAL MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153
Plan sponsor’s address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153

Number of participants as of the end of the plan year
Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of
Role Plan administrator
Date 2019-03-02
Name of individual signing JAMES DITTMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-02
Name of individual signing JAMES DITTMER
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.A. 2017 412012050 2018-03-21 MINNESOTA NATURAL MEDICINE, P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153
Plan sponsor’s address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153

Number of participants as of the end of the plan year
Retired or separated participants receiving benefits 1
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2018-03-21
Name of individual signing JAMES DITTMER
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.A. 2017 412012050 2018-04-14 MINNESOTA NATURAL MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153
Plan sponsor’s address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 1
Number of participants with account balances as of the end of the plan year 3

Signature of
Role Plan administrator
Date 2018-04-14
Name of individual signing JAMES DITTMER
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.A. 2016 412012050 2017-02-23 MINNESOTA NATURAL MEDICINE, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153
Plan sponsor’s address 3485 WILLOW LAKE BLVD STE 100, VADNAIS HEIGHTS, MN, 551105153

Number of participants as of the end of the plan year
Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing JAMES DITTMER
Valid signature Filed with authorized/valid electronic signature
MINNESOTA NATURAL MEDICINE, P.A. PROFIT SHARING PLAN 2014 412012050 2015-03-06 MINNESOTA NATURAL MEDICINE, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s mailing address 3485 WILLOW LAKE BLVD, SUITE 100, VADNAIS HEIGHTS, MN, 55110
Plan sponsor’s address 3485 WILLOW LAKE BLVD, SUITE 100, VADNAIS HEIGHTS, MN, 55110

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5
MINNESOTA NATURAL MEDICINE, P.A. PROFIT SHARING PLAN 2009 412012050 2010-10-08 MINNESOTA NATURAL MEDICINE, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6514845567
Plan sponsor’s address 3640 TALMAGE CIRCLE, SUITE 208, VADNAIS HEIGHTS, MN, 551104183

Plan administrator’s name and address
Administrator’s EIN 412012050
Plan administrator’s name MINNESOTA NATURAL MEDICINE, P.A.
Plan administrator’s address 3640 TALMAGE CIRCLE, SUITE 208, VADNAIS HEIGHTS, MN, 551104183
Administrator’s telephone number 6514845567

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing CHRISTOPHER FOLEY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Chris M Foley MD Chief Executive Officer 3485 Willow Lake Blvd #100, Vadnais Heights, MN 55110, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2015-06-30
Administrative Dissolution - Business Corporation (Domestic) 2015-06-08
Registered Office and/or Agent - Business Corporation (Domestic) 2005-09-07
Original Filing - Business Corporation (Domestic) 2001-07-12
Business Corporation (Domestic) Business Name (Business Name: Minnesota Natural Medicine, P.A.) 2001-07-12

Related by officers

No related officers

Related by address

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Date of last update: 06 Oct 2024

Sources: Minnesota's Official State Website

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