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Kate-Mar Medical, LLC

Company Details

Name: Kate-Mar Medical, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 19 Apr 2007 (18 years ago)
Company Number: 4498e099-8fd4-e011-a886-001ec94ffe7f
File Number: 2319310-2
Registered Office Address: 4317 Lexington Pointe Parkway, Eagan, MN 55123, USA
Principal Executive Office Address: 5440 Three Points Blvd, Suite 522, Mound, MN 55364, USA
ZIP code: 55123
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2023 200512585 2024-07-01 KATE-MAR MEDICAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 6125083008
Plan sponsor’s address 5440 THREE POINTS BLVD, APT 522, MOUND, MN, 55364

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing COURTLAND E HOLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-01
Name of individual signing COURTLAND E HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2022 200512585 2023-06-06 KATE-MAR MEDICAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 6125083008
Plan sponsor’s address 5440 THREE POINTS BLVD APT 522, MOUND, MN, 55364

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 5440 THREE POINTS BLVD APT 522, MOUND, MN, 55364
Administrator’s telephone number 6125083008

Signature of

Role Plan administrator
Date 2023-06-06
Name of individual signing COURTLAND HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2021 200512585 2022-06-06 KATE-MAR MEDICAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 6125083008
Plan sponsor’s address 5440 THREE POINTS BLVD APT 522, MOUND, MN, 55364

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 5440 THREE POINTS BLVD APT 522, MOUND, MN, 55364
Administrator’s telephone number 6125083008

Signature of

Role Plan administrator
Date 2022-06-06
Name of individual signing COURTLAND HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2020 200512585 2021-05-10 KATE-MAR MEDICAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 6125083008
Plan sponsor’s address 5440 THREE POINTS BLVD APT 522, MOUND, MN, 55364

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 5440 THREE POINTS BLVD APT 522, MOUND, MN, 55364
Administrator’s telephone number 6125083008

Signature of

Role Plan administrator
Date 2021-05-10
Name of individual signing COURTLAND HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2019 200512585 2020-06-16 KATE-MAR MEDICAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 6125083008
Plan sponsor’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123
Administrator’s telephone number 6125083008

Signature of

Role Plan administrator
Date 2020-06-16
Name of individual signing COURTLAND HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2018 200512585 2019-05-13 KATE-MAR MEDICAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 6125083008
Plan sponsor’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123
Administrator’s telephone number 6125083008

Signature of

Role Plan administrator
Date 2019-05-13
Name of individual signing COURTLAND HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2017 200512585 2018-03-19 KATE-MAR MEDICAL, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 9522242000
Plan sponsor’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123
Administrator’s telephone number 9522242000

Signature of

Role Plan administrator
Date 2018-03-19
Name of individual signing COURT HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2016 200512585 2017-06-14 KATE-MAR MEDICAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 9522242000
Plan sponsor’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123
Administrator’s telephone number 9522242000

Signature of

Role Plan administrator
Date 2017-06-14
Name of individual signing COURT HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2015 200512585 2016-03-14 KATE-MAR MEDICAL, LLC 11
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 9522242000
Plan sponsor’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 4317 LEXINGTON POINTE PKWY, SAINT PAUL, MN, 55123
Administrator’s telephone number 9522242000

Signature of

Role Plan administrator
Date 2016-03-13
Name of individual signing COURT HOLMAN
Valid signature Filed with authorized/valid electronic signature
KATE-MAR MEDICAL, LLC 401(K) P/S PLAN 2014 200512585 2015-09-11 KATE-MAR MEDICAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 9522242000
Plan sponsor’s address 8890 WENTWORTH AVE S, MINNEAPOLIS, MN, 55420

Plan administrator’s name and address

Administrator’s EIN 200512585
Plan administrator’s name KATE-MAR MEDICAL, LLC
Plan administrator’s address 8890 WENTWORTH AVE S, MINNEAPOLIS, MN, 55420
Administrator’s telephone number 9522242000

Signature of

Role Plan administrator
Date 2015-09-11
Name of individual signing COURT HOLMAN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Court Holman Manager 5440 Three Point Blvd, Suite 522, Mound, MN 55364, USA

Agent

Name Role
Court Holman Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Annual Reinstatement - Limited Liability Company (Domestic) 2013-09-10
Administrative Termination - Limited Liability Company (Domestic) 2013-02-26
Registered Office and/or Agent - Limited Liability Company (Domestic) 2007-09-14
Limited Liability Company (Domestic) Restated Articles 2007-07-26
Merger - Limited Liability Company (Domestic) 2007-07-26
Original Filing - Limited Liability Company (Domestic) 2007-04-19
Limited Liability Company (Domestic) Business Name (Business Name: Kate-Mar Medical, LLC) 2007-04-19

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website