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Midwest Spine & Brain Institute, LLC

Company Details

Name: Midwest Spine & Brain Institute, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Foreign)
Status: Active / In Good Standing
Date formed: 27 Nov 1996 (28 years ago)
Company Number: 51ebb70c-b6d4-e011-a886-001ec94ffe7f
File Number: 515-LFC
Registered Office Address: 1950 Curve Crest Blvd Midwest Prof Bldg, Stillwater, MN 55082, USA
Principal Executive Office Address: 1950 Northwestern Ave, Ste 102, Stillwater, MN 55082–7615, USA
ZIP code: 55082
County: Washington County
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST SPINE & BRAIN INSTITUTE, LLC PROFIT SHARING PLAN AND TRUST 2023 411857166 2024-04-02 MIDWEST SPINE & BRAIN INSTITUTE, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 NORTHWESTERN AVENUE, SUITE 102, STILLWATER, MN, 55082

Signature of

Role Plan administrator
Date 2024-03-29
Name of individual signing SHARON OHLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-29
Name of individual signing SHARON OHLAND
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPINE & BRAIN INSTITUTE, LLC PROFIT SHARING PLAN AND TRUST 2022 411857166 2023-09-19 MIDWEST SPINE & BRAIN INSTITUTE, LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 NORTHWESTERN AVENUE, SUITE 102, STILLWATER, MN, 55082

Signature of

Role Plan administrator
Date 2023-09-14
Name of individual signing SHARON M. OHLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-14
Name of individual signing SHARON M. OHLAND
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPINE & BRAIN INSTITUTE, LLC PROFIT SHARING PLAN AND TRUST 2021 411857166 2022-06-16 MIDWEST SPINE & BRAIN INSTITUTE, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541990
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 NORTHWESTERN AVENUE, SUITE 102, STILLWATER, MN, 55082

Signature of

Role Plan administrator
Date 2022-06-16
Name of individual signing JOHN ANSAY
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPINE & BRAIN INSTITUTE, LLC PR0FIT SHARING PLAN AND TRUST 2020 411857166 2021-06-03 MIDWEST SPINE & BRAIN INSTITUTE LLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 NORTHWESTERN AVENUE, SUITE 102, STILLWATER, MN, 550827615

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing SHARON OHLAND
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPINE & BRAIN INSTITUTE, LLC PR0FIT SHARING PLAN AND TRUST 2019 411857166 2020-07-02 MIDWEST SPINE & BRAIN INSTITUTE LLC 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 NORTHWESTERN AVENUE, SUITE 102, STILLWATER, MN, 550827615

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing SHARON OHLAND
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPINE & BRAIN INSTITUTE, LLC PR0FIT SHARING PLAN AND TRUST 2018 411857166 2019-07-12 MIDWEST SPINE & BRAIN INSTITUTE LLC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 NORTHWESTERN AVENUE, SUITE 102, STILLWATER, MN, 550827615

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing SHARON OHLAND
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPINE INSTITUTE, L.L.C. PROFIT SHARING PLAN AND TRUST 2015 411857166 2016-07-21 MIDWEST SPINE & BRAIN INSTITUTE LLC 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 NORTHWESTERN AVENUE, SUITE 102, STILLWATER, MN, 550827615

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing SHARON OHLAND
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPINE INSTITUTE, L. L. C. PROFIT SHARING PLAN AND TRUST 2014 411857166 2015-07-27 MIDWEST SPINE & BRAIN INSTITUTE LLC 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6514303800
Plan sponsor’s address 1950 CURVE CREST BOULEVARD, SUITE 100, STILLWATER, MN, 55082

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing SHARON OHLAND
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Stefano Michael Sinicropi Manager 1950 Northwestern Ave, Ste 102, Stillwater, MN 55082–7615, USA

Agent

Name Role
Glenn Buttermann Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Foreign) 2018-01-01
Amendment - Limited Liability Company (Foreign) (Business Name: Midwest Spine & Brain Institute, LLC) 2015-01-02
Annual Reinstatement - Limited Liability Company (Foreign) 2009-05-05
Revocation - Limited Liability Company (Foreign) 2009-01-05
Limited Liability Company (Foreign) Business Name (Business Name: MIDWEST SPINE INSTITUTE, LLC) 2004-03-03
Limited Liability Company (Foreign) Other 1998-11-25
Limited Liability Company (Foreign) Business Name (Business Name: MIDWEST SPINE & ORTHOPAEDICS, LLC) 1998-11-25
Limited Liability Company (Foreign) Biennial Renewal 1998-08-07
Registered Office and/or Agent - Limited Liability Company (Foreign) 1997-03-28
Original Filing - Limited Liability Company (Foreign) 1996-11-27

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website