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Anesthesia Care Team, P. A.

Company Details

Name: Anesthesia Care Team, P. A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 19 Sep 1989 (35 years ago)
Company Number: 3d9e763f-b7d4-e011-a886-001ec94ffe7f
File Number: 6K-893
Registered Office Address: 506 Henrietta Avenue N., Park Rapids, MN 56470, USA
Principal Executive Office Address: 600 Pleasant Ave, Box 432, Park Rapids, MN 56470, USA
ZIP code: 56470
County: Hubbard County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2023 931009266 2024-06-06 ANESTHESIA CARE TEAM P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2024-06-06
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-06
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2022 931009266 2023-09-01 ANESTHESIA CARE TEAM P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2023-09-01
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-01
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2021 931009266 2022-06-29 ANESTHESIA CARE TEAM P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2022-06-29
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-29
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2020 931009266 2021-07-21 ANESTHESIA CARE TEAM P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2021-07-21
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-21
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2019 931009266 2020-10-06 ANESTHESIA CARE TEAM P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-06
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2018 931009266 2019-10-07 ANESTHESIA CARE TEAM P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2019-10-07
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-07
Name of individual signing KARL CARLSON
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2017 931009266 2018-09-27 ANESTHESIA CARE TEAM P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2016 931009266 2017-08-31 ANESTHESIA CARE TEAM P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2017-08-31
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-31
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2015 931009266 2016-09-22 ANESTHESIA CARE TEAM P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2016-09-22
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-22
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE TEAM P.A. EMPLOYEE RETIREMENT PLAN 2014 931009266 2015-09-22 ANESTHESIA CARE TEAM P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621399
Sponsor’s telephone number 2187329464
Plan sponsor’s address PO BOX 432, PARK RAPIDS, MN, 564700432

Signature of

Role Plan administrator
Date 2015-09-22
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-22
Name of individual signing DONALD J. GYTRI
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
KARL J CARLSON Chief Executive Officer 506 HENRIETTA AVE N, Park Rapids, MN 56470, USA

Agent

Name Role
Karl J. Carlson Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2018-03-01
Original Filing - Business Corporation (Domestic) (Business Name: Anesthesia Care Team, P. A.) 1989-09-19

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website