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Affina, LLC

Company Details

Name: Affina, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 16 Apr 2003 (22 years ago)
Company Number: 3f4f0d5e-b5d4-e011-a886-001ec94ffe7f
File Number: 40707-LLC
Registered Office Address: 5525 Blaisdell Avenue, Minneapolis, MN 55419, USA
Principal Executive Office Address: 5525 BLAISDELL AVE, MINNEAPOLIS, MN 55419–1918, United States
ZIP code: 55419
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFINA, LLC 401(K) PLAN FORMERLY THE NITA B CREATIVE LLC 401(K) PLAN 2013 200809396 2014-01-24 AFFINA, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-01
Business code 541400
Sponsor’s telephone number 6516442889
Plan sponsor’s address 2747 EWING AVE. S., MINNEAPOLIS, MN, 55416

Signature of

Role Plan administrator
Date 2014-01-24
Name of individual signing RENITA VAN DUSEN
Valid signature Filed with authorized/valid electronic signature
AFFINA, LLC 401(K) PLAN FORMERLY THE NITA B CREATIVE LLC 401(K) PLAN 2012 200809396 2013-09-20 AFFINA, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-01
Business code 541400
Sponsor’s telephone number 6516442889
Plan sponsor’s address 2747 EWING AVE. S., MINNEAPOLIS, MN, 55416

Plan administrator’s name and address

Administrator’s EIN 200809396
Plan administrator’s name AFFINA, LLC
Plan administrator’s address 2747 EWING AVE. S., MINNEAPOLIS, MN, 55416
Administrator’s telephone number 6516442889

Signature of

Role Plan administrator
Date 2013-09-20
Name of individual signing RENITA VAN DUSEN
Valid signature Filed with authorized/valid electronic signature
AFFINA, LLC 401(K) PLAN FORMERLY THE NITA B CREATIVE LLC 401(K) PLAN 2011 200809396 2012-10-02 AFFINA, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-01
Business code 541400
Sponsor’s telephone number 6516442889
Plan sponsor’s address 2747 EWING AVE. S., MINNEAPOLIS, MN, 55416

Plan administrator’s name and address

Administrator’s EIN 200809396
Plan administrator’s name AFFINA, LLC
Plan administrator’s address 2747 EWING AVE. S., MINNEAPOLIS, MN, 55416
Administrator’s telephone number 6516442889

Signature of

Role Plan administrator
Date 2012-10-02
Name of individual signing RENITA VAN DUSEN
Valid signature Filed with authorized/valid electronic signature
AFFINA, LLC 401(K) PLAN FORMERLY THE NITA B CREATIVE LLC 401(K) PLAN 2010 200809396 2011-09-15 AFFINA, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-01
Business code 541400
Sponsor’s telephone number 6516442889
Plan sponsor’s address 2747 EWING AVE. S., MINNEAPOLIS, MN, 55416

Plan administrator’s name and address

Administrator’s EIN 200809396
Plan administrator’s name AFFINA, LLC
Plan administrator’s address 2747 EWING AVE. S., MINNEAPOLIS, MN, 55416
Administrator’s telephone number 6516442889

Signature of

Role Plan administrator
Date 2011-09-15
Name of individual signing RENITA VAN DUSEN
Valid signature Filed with authorized/valid electronic signature
AFFINA LLC 401K PLAN FORMERLY THE NITA B CREATIVE 401K PLAN 2009 200809396 2010-09-27 AFFINA, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-01
Business code 541400
Sponsor’s telephone number 6516442889
Plan sponsor’s address 991 SELBY AVENUE, ST PAUL, MN, 55104

Plan administrator’s name and address

Administrator’s EIN 200809396
Plan administrator’s name AFFINA, LLC
Plan administrator’s address 991 SELBY AVENUE, ST PAUL, MN, 55104
Administrator’s telephone number 6516442889

Signature of

Role Plan administrator
Date 2010-09-27
Name of individual signing RENITA VAN DUSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
Renita Faye Agent

Manager

Name Role Address
Renita Van Van Dusen Manager 5525 BLAISDELL AVE, MINNEAPOLIS, MN 55419–1918, United States

Filing

Filing Name Filing date
Statement of Termination – Limited Liability Company (Domestic) 2024-04-03
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Limited Liability Company (Domestic) Business Name (Business Name: Affina, LLC) 2008-09-22
Registered Office and/or Agent - Limited Liability Company (Domestic) 2005-03-29
Annual Reinstatement - Limited Liability Company (Domestic) 2005-03-29
Administrative Termination - Limited Liability Company (Domestic) 2005-02-02
Original Filing - Limited Liability Company (Domestic) 2003-04-16
Limited Liability Company (Domestic) Business Name (Business Name: Nita B. Creative, LLC) 2003-04-16

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website