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  5. Medstat Systems, Inc.

Medstat Systems, Inc.

Headquarter

Company Details

Name: Medstat Systems, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 17 Jun 1996 (29 years ago)
Company Number: 54160655-bad4-e011-a886-001ec94ffe7f
File Number: 9F-588
Registered Office Address: 6155 NE East River Rd #418, Fridley, MN 55421, USA
Principal Executive Office Address: 5155 East River Road, Suite #418, Fridley, MN 55421, USA
ZIP code: 55421
County: Anoka County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of Medstat Systems, Inc., FLORIDA F97000003468 FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDSTAT SYSTEMS 401K PLAN 2017 411845521 2018-10-15 MEDSTAT SYSTEMS, INC 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2016 411845521 2017-04-27 MEDSTAT SYSTEMS, INC 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2017-04-27
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2015 411845521 2016-04-07 MEDSTAT SYSTEMS, INC 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2016-04-07
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2014 411845521 2015-05-28 MEDSTAT SYSTEMS, INC 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2013 411845521 2014-07-23 MEDSTAT SYSTEMS, INC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2012 411845521 2013-06-27 MEDSTAT SYSTEMS, INC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2011 411845521 2012-06-26 MEDSTAT SYSTEMS, INC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2010 411845521 2011-05-26 MEDSTAT SYSTEMS, INC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2011-05-26
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature
MEDSTAT SYSTEMS 401K PLAN 2009 411845521 2010-06-24 MEDSTAT SYSTEMS, INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 492110
Sponsor’s telephone number 7635868146
Plan sponsor’s address 5155 RIVER ROAD STE 418, FRIDLEY, MN, 55421

Plan administrator’s name and address
Administrator’s EIN 411845521
Plan administrator’s name MEDSTAT SYSTEMS, INC
Plan administrator’s address 5155 RIVER ROAD, FRIDLEY, MN, 55421
Administrator’s telephone number 7635868146

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing ROBIN ALDRICH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Scott Bohm Chief Executive Officer 5155 East River Road, Suite #418, Fridley, MN 55421, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2019-03-15
Registered Office and/or Agent - Business Corporation (Domestic) 2004-03-19
Original Filing - Business Corporation (Domestic) 1996-06-17
Business Corporation (Domestic) Business Name (Business Name: Medstat Systems, Inc.) 1996-06-17

Related by officers

Scott Bohm

CB3 Technology, Inc. MedQuick Advantage, LLC

Related by address

No related companies by address

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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