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  5. Landis Plastic Surgery, P.C.

Landis Plastic Surgery, P.C.

Company Details

Name: Landis Plastic Surgery, P.C.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 Sep 2001 (23 years ago)
Company Number: 4ae437aa-a3d4-e011-a886-001ec94ffe7f
File Number: 11U-600
Registered Office Address: 109 Bushaway Rd #200, Wayzata, MN 55391, USA
Principal Executive Office Address: STE 335, 2805 CAMPUS DR, PLYMOUTH, MN 55441–2679, USA
ZIP code: 55391
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2017 412016740 2018-04-24 LANDIS PLASTIC SURGERY P C 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address 2805 CAMPUS DR STE 335, MINNEAPOLIS, MN, 554412679

Signature of
Role Plan administrator
Date 2018-04-24
Name of individual signing GEORGE LANDIS
Valid signature Filed with authorized/valid electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2016 412016740 2017-07-06 LANDIS PLASTIC SURGERY P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9525625940
Plan sponsor’s address 2805 CAMPUS DR STE 335, MINNEAPOLIS, MN, 554412679

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing GEORGE LANDIS
Valid signature Filed with authorized/valid electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2015 412016740 2016-10-17 LANDIS PLASTIC SURGERY P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address PO BOX 667, CIRCLE PINES, MN, 550142659

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing CHERYL A. TOLLEFSON
Valid signature Filed with authorized/valid electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2014 412016740 2015-05-14 LANDIS PLASTIC SURGERY P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address PO BOX 667, CIRCLE PINES, MN, 550142659

Signature of
Role Plan administrator
Date 2015-05-14
Name of individual signing GEROGE LANDIS MD
Valid signature Filed with authorized/valid electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2013 412016740 2014-05-08 LANDIS PLASTIC SURGERY P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address PO BOX 667, CIRCLE PINES, MN, 550142659

Signature of
Role Plan administrator
Date 2014-05-08
Name of individual signing KAREN ENGEN
Valid signature Filed with authorized/valid electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2012 412016740 2013-05-23 LANDIS PLASTIC SURGERY P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address PO BOX 667, CIRCLE PINES, MN, 550142659

Signature of
Role Plan administrator
Date 2013-05-23
Name of individual signing LANDIS PLASTIC SURGERY P C
Valid signature Filed with authorized/valid electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2011 412016740 2012-08-30 LANDIS PLASTIC SURGERY P C 3
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address PO BOX 667, CIRCLE PINES, MN, 550142659

Plan administrator’s name and address
Administrator’s EIN 412016740
Plan administrator’s name LANDIS PLASTIC SURGERY P C
Plan administrator’s address PO BOX 667, CIRCLE PINES, MN, 550142659
Administrator’s telephone number 6126697173

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing LANDIS PLASTIC SURGERY P C
Valid signature Filed with incorrect/unrecognized electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2011 412016740 2012-05-15 LANDIS PLASTIC SURGERY P C 3
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address PO BOX 667, CIRCLE PINES, MN, 550142659

Plan administrator’s name and address
Administrator’s EIN 412016740
Plan administrator’s name LANDIS PLASTIC SURGERY P C
Plan administrator’s address PO BOX 667, CIRCLE PINES, MN, 550142659
Administrator’s telephone number 6126697173

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing LANDIS PLASTIC SURGERY P C
Valid signature Filed with incorrect/unrecognized electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2011 412016740 2012-08-30 LANDIS PLASTIC SURGERY P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address PO BOX 667, CIRCLE PINES, MN, 550142659

Plan administrator’s name and address
Administrator’s EIN 412016740
Plan administrator’s name LANDIS PLASTIC SURGERY P C
Plan administrator’s address PO BOX 667, CIRCLE PINES, MN, 550142659
Administrator’s telephone number 6126697173

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing LANDIS PLASTIC SURGERY P C
Valid signature Filed with authorized/valid electronic signature
LANDIS PLASTIC SURGERY P C 401 K PROFIT SHARING PLAN TRUST 2010 412016740 2011-05-16 LANDIS PLASTIC SURGERY P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6126697173
Plan sponsor’s address 2855 CAMPUS DR STE 500, PLYMOUTH, MN, 554412659

Plan administrator’s name and address
Administrator’s EIN 412016740
Plan administrator’s name LANDIS PLASTIC SURGERY P C
Plan administrator’s address 2855 CAMPUS DR STE 500, PLYMOUTH, MN, 554412659
Administrator’s telephone number 6126697173

Signature of
Role Plan administrator
Date 2011-05-16
Name of individual signing LANDIS PLASTIC SURGERY P C
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
George Landis Chief Executive Officer STE 335, 2805 CAMPUS DR, PLYMOUTH, MN 55441–2679, USA

Agent

Name Role
George Landis Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2018-04-27
Administrative Dissolution - Business Corporation (Domestic) 2018-03-13
Registered Office and/or Agent - Business Corporation (Domestic) 2003-01-22
Original Filing - Business Corporation (Domestic) 2001-09-12
Business Corporation (Domestic) Business Name (Business Name: Landis Plastic Surgery, P.C.) 2001-09-12
Original Filing - Business Corporation (Domestic)Professional Service - Medicine & Surgery 2001-09-12

Related by officers

No related officers

Related by address

109 Bushaway Rd #200, Wayzata, MN 55391, USA

Wayzata Eye Building, LLC Leisure Living of America, Inc. Leisure Living of Minnetonka, Inc. CONSULTATIVE SKIN CARE, LLC

Date of last update: 02 Jan 2025

Sources: Minnesota's Official State Website

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