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Pediatric Services, P.A.

Company Details

Name: Pediatric Services, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 22 May 1984 (41 years ago)
Company Number: 3fc5edc7-b6d4-e011-a886-001ec94ffe7f
File Number: 4Q-847
Registered Office Address: 4700 Park Glen Road, St Louis Park, MN 55416–5541, USA
Principal Executive Office Address: 4700 PARK GLEN RD, ST LOUIS PARK, MN 55416–5701, United States
ZIP code: 55416
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2023 411490484 2024-06-17 PEDIATRIC SERVICES, P.A. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2024-06-17
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-17
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2022 411490484 2023-06-03 PEDIATRIC SERVICES, P.A. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2023-06-03
Name of individual signing STEVEN INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-03
Name of individual signing STEVEN INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2021 411490484 2022-04-30 PEDIATRIC SERVICES, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2022-04-30
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-30
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2020 411490484 2021-06-16 PEDIATRIC SERVICES, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2021-06-16
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2019 411490484 2020-05-02 PEDIATRIC SERVICES, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2020-05-02
Name of individual signing STEVEN V. INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-02
Name of individual signing STEVEN V. INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2018 411490484 2019-06-12 PEDIATRIC SERVICES, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2019-06-12
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-12
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2017 411490484 2018-05-08 PEDIATRIC SERVICES, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2018-05-08
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2016 411490484 2017-05-31 PEDIATRIC SERVICES, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2017-05-31
Name of individual signing STEVEN INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-31
Name of individual signing STEVEN INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2015 411490484 2016-07-20 PEDIATRIC SERVICES, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 4700 PARK GLEN RD, ST. LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2016-07-20
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-20
Name of individual signing STEVEN V INMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2014 411490484 2015-05-10 PEDIATRIC SERVICES, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-09-01
Business code 621111
Sponsor’s telephone number 9529224200
Plan sponsor’s address 5111 MINNETONKA BOULEVARD, ST LOUIS PARK, MN, 55416

Signature of

Role Plan administrator
Date 2015-05-10
Name of individual signing STEVEN INMAN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Elizabeth Collins, MD Chief Executive Officer 4700 Park Glen Rd, ST LOUIS PARK, MN 55416–5701, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2007-04-13
Annual Reinstatement - Business Corporation (Domestic) 2007-03-29
Administrative Dissolution - Business Corporation (Domestic) 2006-01-17
Original Filing - Business Corporation (Domestic) 1984-05-22
Business Corporation (Domestic) Business Name (Business Name: Pediatric Services, P.A.) 1984-05-22

Date of last update: 29 Nov 2024

Sources: Minnesota's Official State Website