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North Metro Midwives, P.A.

Company Details

Name: North Metro Midwives, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 01 Jun 2004 (21 years ago)
Company Number: 40077981-88d4-e011-a886-001ec94ffe7f
File Number: 924901-2
Registered Office Address: 17100 28th Ave N, Plymouth, MN 55447, USA
ZIP code: 55447
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH METRO MIDWIVES, P. A. 401K PROFIT SHARING PLAN 2015 412125392 2016-12-19 NORTH METRO MIDWIVES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 17100 28TH AVE N, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2016-12-12
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-12-12
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN 2015 412125392 2016-08-01 NORTH METRO MIDWIVES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 17100 28TH AVE N, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2016-08-01
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-01
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN 2015 412125392 2016-07-27 NORTH METRO MIDWIVES, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2016-07-26
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN 2014 412125392 2015-09-14 NORTH METRO MIDWIVES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2015-09-13
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-13
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN 2013 412125392 2014-07-10 NORTH METRO MIDWIVES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2014-07-09
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-09
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN 2012 412125392 2013-08-21 NORTH METRO MIDWIVES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 12805 MINNESOTA 55, SUITE 111, PLYMOUTH, MN, 55441

Signature of

Role Plan administrator
Date 2013-08-21
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-21
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN 2011 412125392 2012-05-14 NORTH METRO MIDWIVES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472

Plan administrator’s name and address

Administrator’s EIN 412125392
Plan administrator’s name NORTH METRO MIDWIVES, P.A.
Plan administrator’s address 8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472
Administrator’s telephone number 9529881248

Signature of

Role Plan administrator
Date 2012-05-14
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-14
Name of individual signing KATHERINE SIMON
Valid signature Filed with authorized/valid electronic signature
NORTH METRO MIDWIVES, P.A. 401K PROFIT SHARING PLAN 2010 412125392 2011-09-24 NORTH METRO MIDWIVES, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 9529881248
Plan sponsor’s address 8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472

Plan administrator’s name and address

Administrator’s EIN 412125392
Plan administrator’s name NORTH METRO MIDWIVES, P.A.
Plan administrator’s address 8301 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN, 55472
Administrator’s telephone number 9529881248

Signature of

Role Plan administrator
Date 2011-09-23
Name of individual signing ROBERT SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-23
Name of individual signing KATHRINE SIMON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Katherine Simon Chief Executive Officer 17100 28th Ave N, Plymouth, MN 55447, USA

Agent

Name Role
Kathrine Simon Agent

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2018-03-13
Original Filing - Business Corporation (Domestic) (Business Name: North Metro Midwives, P.A.)Professional Service - Medicine & Surgery Professional Service - Registered Nursing 2004-06-01

Date of last update: 31 Dec 2024

Sources: Minnesota's Official State Website