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Interventional Spine and Pain Physicians, PA

Company Details

Name: Interventional Spine and Pain Physicians, PA
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 17 Mar 2011 (14 years ago)
Company Number: 5801d28a-97d4-e011-a886-001ec94ffe7f
File Number: 4223992-4
Registered Office Address: 9645 Grove Circle North, Suite 200, Maple Grove, MN 55369, USA
Principal Executive Office Address: 9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN 55369–5536, United States
ZIP code: 55369
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN 2023 450729830 2024-10-02 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 70
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-02
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN 2023 450729830 2024-08-26 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2024-08-26
Name of individual signing JASON WOLFF, M.D.
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN 2022 450729830 2024-10-01 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 73
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2024-10-01
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN 2022 450729830 2023-10-11 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 71
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN 2022 450729830 2023-07-13 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing JASON WOLFF, M.D.
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN 2021 450729830 2023-10-09 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 82
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9529082700
Plan sponsor’s address 9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE & PAIN PHYSICIANS 401(K) PLAN 2021 450729830 2022-10-13 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 82
Three-digit plan number (PN) 003
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 9529082700
Plan sponsor’s address 9645 GROVE CIRCLE N, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN 2021 450729830 2022-10-13 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing JASON WOLFF, M.D.
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN 2020 450729830 2021-10-14 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA CASH BALANCE PLAN 2019 450729830 2020-10-05 INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7632018191
Plan sponsor’s address 9645 GROVE CIRCLE NORTH, SUITE 200, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing JASON WOLFF
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
James Parmele Chief Executive Officer 9645 Grove Circle N Suite 200, Maple Grove, MN 55369, USA

Agent

Name Role
James Bryan Parmele Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2013-01-29
Amendment - Business Corporation (Domestic) (Business Name: Interventional Spine and Pain Physicians, PA) 2012-09-07
Original Filing - Business Corporation (Domestic) (Business Name: Pain Management Associates, P.A.)Professional Service - Medicine & Surgery 2011-03-17

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website