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  5. LAKES AREA UROLOGY, P.A.

LAKES AREA UROLOGY, P.A.

Company Details

Name: LAKES AREA UROLOGY, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 08 Jun 1984 (41 years ago)
Company Number: 56d7948c-a2d4-e011-a886-001ec94ffe7f
File Number: 4R-54
Registered Office Address: 1903 S 6th Str, Brainerd, MN 56401, USA
ZIP code: 56401
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKES AREA UROLOGY 401(K) /PROFIT SHARING PLAN 2010 411487113 2011-10-17 LAKES AREA UROLOGY P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2188281418
Plan sponsor’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Plan administrator’s name and address
Administrator’s EIN 411487113
Plan administrator’s name LAKES AREA UROLOGY P.A.
Plan administrator’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401
Administrator’s telephone number 2188281418

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing DAVID PAUL
Valid signature Filed with authorized/valid electronic signature
LAKES AREA UROLOGY 401(K) /PROFIT SHARING PLAN 2010 411487113 2011-10-28 LAKES AREA UROLOGY P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2188281418
Plan sponsor’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Plan administrator’s name and address
Administrator’s EIN 411487113
Plan administrator’s name LAKES AREA UROLOGY P.A.
Plan administrator’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401
Administrator’s telephone number 2188281418

Signature of
Role Plan administrator
Date 2011-10-28
Name of individual signing DAVID PAUL
Valid signature Filed with authorized/valid electronic signature
LAKES AREA UROLOGY 401(K) /PROFIT SHARING PLAN 2010 411487113 2011-10-14 LAKES AREA UROLOGY P.A. 14
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2188281418
Plan sponsor’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Plan administrator’s name and address
Administrator’s EIN 411487113
Plan administrator’s name LAKES AREA UROLOGY P.A.
Plan administrator’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401
Administrator’s telephone number 2188281418

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing BRADLEY QUALEY
Valid signature Filed with incorrect/unrecognized electronic signature
LAKES AREA UROLOGY 401(K) /PROFIT SHARING PLAN 2010 411487113 2011-10-13 LAKES AREA UROLOGY P.A. 14
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2188281418
Plan sponsor’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401

Plan administrator’s name and address
Administrator’s EIN 411487113
Plan administrator’s name LAKES AREA UROLOGY P.A.
Plan administrator’s address 1903 SOUTH SIXTH STREET, BRAINERD, MN, 56401
Administrator’s telephone number 2188281418

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing BRADLEY QUALEY
Valid signature Filed with incorrect/unrecognized electronic signature

Chief Executive Officer

Name Role Address
David B Paul Chief Executive Officer 1903 S 6th Str, Brainerd, MN 56401, USA

Filing

Filing Name Filing date
Administrative Dissolution Name Hold Release - Business Corporation (Domestic) 2014-02-26
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Business Corporation (Domestic) Business Name (Business Name: LAKES AREA UROLOGY, P.A.) 1998-02-04
Registered Office and/or Agent - Business Corporation (Domestic) 1988-06-08
Original Filing - Business Corporation (Domestic) 1984-06-08
Business Corporation (Domestic) Business Name (Business Name: DAVID B. PAUL, M.D., P.A.) 1984-06-08

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David B Paul

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Related by address

1903 S 6th Str, Brainerd, MN 56401, USA

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Date of last update: 22 Jan 2025

Sources: Minnesota's Official State Website

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