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  5. Skin Rejuvenation Clinic, P.A.

Skin Rejuvenation Clinic, P.A.

Company Details

Name: Skin Rejuvenation Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 01 Jul 2004 (21 years ago)
Company Number: 46fc46b1-88d4-e011-a886-001ec94ffe7f
File Number: 959967-2
Registered Office Address: 9240 Talus Circ, Eden Prairie, MN 55347, USA
Principal Executive Office Address: STE 100, 3601 MINNESOTA DR, EDINA, MN 55435–5253, USA
ZIP code: 55347
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SKIN REJUVENATION CLINIC, P.A. CASH BALANCE PLAN 2022 201386007 2023-07-21 SKIN REJUVENATION CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. CASH BALANCE PLAN 2022 201386007 2023-07-21 SKIN REJUVENATION CLINIC, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. CASH BALANCE PLAN 2021 201386007 2022-09-10 SKIN REJUVENATION CLINIC, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2021 201386007 2022-03-28 SKIN REJUVENATION CLINIC, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2020 201386007 2021-03-16 SKIN REJUVENATION CLINIC, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. CASH BALANCE PLAN 2020 201386007 2021-06-18 SKIN REJUVENATION CLINIC, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. CASH BALANCE PLAN 2019 201386007 2020-09-24 SKIN REJUVENATION CLINIC, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2020-09-24
Name of individual signing BETH HAGBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-24
Name of individual signing BETH HAGBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
SKIN REJUVENATION CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2019 201386007 2020-06-29 SKIN REJUVENATION CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. CASH BALANCE PLAN 2018 201386007 2019-06-04 SKIN REJUVENATION CLINIC, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435
SKIN REJUVENATION CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2018 201386007 2019-05-14 SKIN REJUVENATION CLINIC, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 9529206545
Plan sponsor’s address 6545 FRANCE AVENUE SOUTH, SUITE 165, EDINA, MN, 55435

Chief Executive Officer

Name Role Address
ELIZABETH HAGBERG Chief Executive Officer STE 100, 3601 MINNESOTA DR, EDINA, MN 55435–5253, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2022-04-06
Administrative Dissolution - Business Corporation (Domestic) 2022-01-25
Original Filing - Business Corporation (Domestic) (Business Name: Skin Rejuvenation Clinic, P.A.)Professional Service - Medicine & Surgery 2004-07-01

Related by officers

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Date of last update: 04 Jan 2025

Sources: Minnesota's Official State Website

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