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  5. Southdale Anesthesiologists, LLC

Southdale Anesthesiologists, LLC

Company Details

Name: Southdale Anesthesiologists, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 03 Nov 2000 (24 years ago)
Company Number: 52266451-b7d4-e011-a886-001ec94ffe7f
File Number: 19179-LLC
Registered Office Address: 9368 Redwell Lane, Woodbury, MN 55125–5512, USA
Principal Executive Office Address: 9368 REDWELL LN, WOODBURY, MN 55125–9004, United States
ZIP code: 55125
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2023 411986991 2024-09-18 SOUTHDALE ANESTHESIOLOGISTS, LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6128500035
Plan sponsor’s address 9368 REDWELL LANE, WOODBURY, MN, 55125

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address P.O. BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2024-09-18
Name of individual signing ERIC QUELLA
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2022 411986991 2023-10-11 SOUTHDALE ANESTHESIOLOGISTS, LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6128500035
Plan sponsor’s address 9368 REDWELL LANE, WOODBURY, MN, 55125

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES
Plan administrator’s address P.O. BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing TIFFANY CHENARD
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2021 411986991 2023-01-24 SOUTHDALE ANESTHESIOLOGISTS, LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6128500035
Plan sponsor’s address 9368 REDWELL LANE, WOODBURY, MN, 55125

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES
Plan administrator’s address P.O. BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2023-01-24
Name of individual signing ERIC QUELLA
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2021 411986991 2022-09-22 SOUTHDALE ANESTHESIOLOGISTS, LLC 60
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6128500035
Plan sponsor’s address 9368 REDWELL LANE, WOODBURY, MN, 55125

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES
Plan administrator’s address P.O. BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing ERIC QUELLA
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2020 411986991 2021-08-13 SOUTHDALE ANESTHESIOLOGISTS, LLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6128500035
Plan sponsor’s address 9368 REDWELL LANE, WOODBURY, MN, 55125

Plan administrator’s name and address
Administrator’s EIN 463340706
Plan administrator’s name GOLDLEAF PARTNERS FIDUCIARY SERVICES
Plan administrator’s address P.O. BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8668828442

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing ERIC QUELLA
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2019 411986991 2020-06-24 SOUTHDALE ANESTHESIOLOGISTS, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6128500035
Plan sponsor’s address 8575 BIG WOODS LANE, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 463340706
Plan administrator’s name GOLDLEAF PARTNERS FIDUCIARY SERVICES
Plan administrator’s address 8009 34TH AVENUE SOUTH, SUITE 320, MINNEAPOLIS, MN, 55425
Administrator’s telephone number 8668828442

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing JESSICA MARSON
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2018 411986991 2019-07-30 SOUTHDALE ANESTHESIOLOGISTS, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6128500035
Plan sponsor’s address 8575 BIG WOODS LANE, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 463340706
Plan administrator’s name GOLDLEAF PARTNERS FIDUCIARY SERVICES
Plan administrator’s address 8009 34TH AVENUE SOUTH, SUITE 320, MINNEAPOLIS, MN, 55425
Administrator’s telephone number 8668828442

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing JESSICA MARSON
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC CASH BALANCE PLAN 2017 411986991 2018-08-15 SOUTHDALE ANESTHESIOLOGISTS, LLC 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9529245187
Plan sponsor’s address 6401 FRANCE AVENUE SOUTH, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing GREGORY MAURER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-15
Name of individual signing GREGORY MAURER
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC 401(K) PROFIT SHARING PLAN 2017 411986991 2018-09-20 SOUTHDALE ANESTHESIOLOGISTS, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 9529245187
Plan sponsor’s address 6401 FRANCE AVENUE SOUTH, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2018-09-19
Name of individual signing GREGORY MAURER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-19
Name of individual signing GREGORY MAURER
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE ANESTHESIOLOGISTS, LLC CASH BALANCE PLAN 2016 411986991 2017-10-03 SOUTHDALE ANESTHESIOLOGISTS, LLC 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9529245187
Plan sponsor’s address 6401 FRANCE AVENUE SOUTH, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2017-10-03
Name of individual signing MARK KLAUER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-03
Name of individual signing MARK KLAUER, M.D.
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Gregory Maurer Manager 9368 REDWELL LN, WOODBURY, MN 55125–9004, United States

Agent

Name Role
Gregory Maurer Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2006-12-05
Annual Reinstatement - Limited Liability Company (Domestic) 2006-12-05
Administrative Termination - Limited Liability Company (Domestic) 2005-02-02
Limited Liability Company (Domestic) OtherElection to Become a Professional Firm Professional Service - Medicine & Surgery 2001-02-13
Limited Liability Company (Domestic) Other 2001-02-13
Limited Liability Company (Domestic) Restated Articles 2000-12-20
Limited Liability Company (Domestic) Business Name (Business Name: Southdale Anesthesiologists, LLC) 2000-11-03
Original Filing - Limited Liability Company (Domestic) 2000-11-03

Related by officers

Gregory Maurer

JOE MAURER HOMES, INC. Southdale Anesthetists LLC Midwest Medical Management, L.L.C. C T I Trucking, Inc.

Related by address

9368 Redwell Lane, Woodbury, MN 55125–5512, USA

Southdale Anesthetists LLC

Date of last update: 18 Dec 2024

Sources: Minnesota's Official State Website

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