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Associated Skin Care Specialists, P.A.

Company Details

Name: Associated Skin Care Specialists, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 04 Jun 1973 (52 years ago)
Company Number: 52575ac4-a1d4-e011-a886-001ec94ffe7f
File Number: 2G-1186
Registered Office Address: 119 14th St NW #240, New Brighton, MN 55112, USA
Principal Executive Office Address: 119 14TH ST NW STE 240, NEW BRIGHTON, MN 55112–0007, USA
ZIP code: 55112
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2016 411000101 2017-04-03 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing JANET WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing ROGER WEENIG
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2015 411000101 2016-04-20 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Signature of

Role Plan administrator
Date 2016-04-20
Name of individual signing JANET WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-20
Name of individual signing SOHEIL PAKZAD
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2014 411000101 2015-05-08 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Signature of

Role Plan administrator
Date 2015-05-08
Name of individual signing SOHEIL PAKZAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-08
Name of individual signing SOHEIL PAKZAD
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2013 411000101 2014-06-26 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Signature of

Role Plan administrator
Date 2014-06-26
Name of individual signing SOHEIL PAKZAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-26
Name of individual signing SOHEIL PAKZAD
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2012 411000101 2013-07-10 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Signature of

Role Plan administrator
Date 2013-07-10
Name of individual signing STEVEN KEMPERS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-10
Name of individual signing STEVEN KEMPERS, MD
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2011 411000101 2012-06-29 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Plan administrator’s name and address

Administrator’s EIN 411000101
Plan administrator’s name ASSOCIATED SKIN CARE SPECIALISTS, P.A.
Plan administrator’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
Administrator’s telephone number 7635714000

Signature of

Role Plan administrator
Date 2012-06-29
Name of individual signing SOHEIL PAKZAD, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-29
Name of individual signing SOHEIL PAKZAD, MD
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2010 411000101 2011-06-09 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Plan administrator’s name and address

Administrator’s EIN 411000101
Plan administrator’s name ASSOCIATED SKIN CARE SPECIALISTS, P.A.
Plan administrator’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
Administrator’s telephone number 7635714000

Signature of

Role Plan administrator
Date 2011-06-09
Name of individual signing SOHEIL PAKZAD, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-09
Name of individual signing SOHEIL PAKZAD, MD
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SKIN CARE SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN 2009 411000101 2010-07-13 ASSOCIATED SKIN CARE SPECIALISTS, P.A. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-07-31
Business code 621399
Sponsor’s telephone number 7635714000
Plan sponsor’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134

Plan administrator’s name and address

Administrator’s EIN 411000101
Plan administrator’s name ASSOCIATED SKIN CARE SPECIALISTS, P.A.
Plan administrator’s address 7205 UNIVERISTY AVE NE, FRIDLEY, MN, 554323134
Administrator’s telephone number 7635714000

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing SOHEIL PAKZAD, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing SOHEIL PAKZAD, MD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Roger Weenig Chief Executive Officer 119 14TH ST NW STE 240, NEW BRIGHTON, MN 55112–0007, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2013-08-29
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Business Corporation (Domestic) Restated Articles 1999-10-01
Amendment - Business Corporation (Domestic) 1991-09-03
Business Corporation (Domestic) Active Status Report 1987-08-24
Business Corporation (Domestic) Business Name (Business Name: Associated Skin Care Specialists, P.A.) 1987-05-22
Registered Office and/or Agent - Business Corporation (Domestic) 1980-05-09
Original Filing - Business Corporation (Domestic) 1973-06-04
Business Corporation (Domestic) Business Name (Business Name: Diseases of the Skin Clinic, P. A.) 1973-06-04

Date of last update: 12 Jan 2025

Sources: Minnesota's Official State Website