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Partners In Pediatrics, Ltd.

Company Details

Name: Partners In Pediatrics, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 02 Sep 1969 (55 years ago)
Company Number: 4a8e8ad1-a7d4-e011-a886-001ec94ffe7f
File Number: 1S-1138
Registered Office Address: 12730 Bass Lake Rd, Maple Grove, MN 55369, USA
Principal Executive Office Address: 12730 BASS LAKE RD, MAPLE GROVE, MN 55369–6307, USA
ZIP code: 55369
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2023 410954015 2024-06-03 PARTNERS IN PEDIATRICS, LTD. 57
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2024-06-03
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-03
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2022 410954015 2023-03-01 PARTNERS IN PEDIATRICS, LTD. 57
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2023-03-01
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-01
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2021 410954015 2022-02-14 PARTNERS IN PEDIATRICS, LTD. 61
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2022-02-14
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-14
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2020 410954015 2021-02-22 PARTNERS IN PEDIATRICS, LTD. 66
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2021-02-22
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-22
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2019 410954015 2020-01-28 PARTNERS IN PEDIATRICS, LTD. 66
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2020-01-28
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-28
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2018 410954015 2019-04-03 PARTNERS IN PEDIATRICS, LTD. 69
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2019-04-03
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-03
Name of individual signing ANGELA ROTH
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2017 410954015 2018-02-13 PARTNERS IN PEDIATRICS, LTD. 70
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2018-02-12
Name of individual signing MARY JENKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-12
Name of individual signing MARY JENKINS
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2016 410954015 2017-02-23 PARTNERS IN PEDIATRICS, LTD. 69
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2017-02-23
Name of individual signing MARY L JENKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-23
Name of individual signing MARY L JENKINS
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2015 410954015 2016-04-13 PARTNERS IN PEDIATRICS, LTD. 78
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2016-04-13
Name of individual signing MARY JENKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-13
Name of individual signing MARY JENKINS
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN 2014 410954015 2015-05-06 PARTNERS IN PEDIATRICS, LTD. 80
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1977-10-01
Business code 621111
Sponsor’s telephone number 7632780800
Plan sponsor’s address 12730 BASS LAKE ROAD, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2015-05-06
Name of individual signing MARY JENKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-06
Name of individual signing MARY JENKINS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Naomi Palmer Chief Executive Officer 12730 BASS LAKE RD, MAPLE GROVE, MN 55369–6307, USA

Filing

Filing Name Filing date
Merger - Business Corporation (Domestic) 1998-09-29
Registered Office and/or Agent - Business Corporation (Domestic) 1998-01-06
Business Corporation (Domestic) Business Name (Business Name: Partners In Pediatrics, Ltd.) 1997-04-02
Business Corporation (Domestic) Active Status Report 1981-05-01
Business Corporation (Domestic) Business Name (Business Name: Pediatric Associates, Ltd.) 1969-10-31
Original Filing - Business Corporation (Domestic) 1969-09-02
Business Corporation (Domestic) Business Name (Business Name: Scherling, Greene & Goldfarb, P.A.) 1969-09-02

Date of last update: 03 Jan 2025

Sources: Minnesota's Official State Website