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Dr. Matthew Berven, Inc.

Company Details

Name: Dr. Matthew Berven, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 07 Nov 2003 (21 years ago)
Company Number: 587bbf4a-87d4-e011-a886-001ec94ffe7f
File Number: 682941-2
Registered Office Address: 5972 Cahill Ave #104, Inver Grove Heights, MN 55076, USA
ZIP code: 55076
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. MATTHEW BERVEN 401(K) PLAN 2014 721573994 2015-12-29 DR. MATTHEW BERVEN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6123780548
Plan sponsor’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076

Signature of

Role Plan administrator
Date 2015-12-29
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-29
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
DR. MATTHEW BERVEN 401(K) PLAN 2014 721573994 2015-08-06 DR. MATTHEW BERVEN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6123780548
Plan sponsor’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076

Signature of

Role Plan administrator
Date 2015-08-06
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-06
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
DR. MATTHEW BERVEN 401(K) PLAN 2013 721573994 2014-10-07 DR. MATTHEW BERVEN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6123780548
Plan sponsor’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
DR. MATTHEW BERVEN 401(K) PLAN 2012 721573994 2013-10-14 DR. MATTHEW BERVEN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6123780548
Plan sponsor’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
DR. MATTHEW BERVEN 401(K) PLAN 2011 721573994 2012-10-11 DR. MATTHEW BERVEN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6123780548
Plan sponsor’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076

Plan administrator’s name and address

Administrator’s EIN 721573994
Plan administrator’s name DR. MATTHEW BERVEN, INC.
Plan administrator’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
Administrator’s telephone number 6123780548

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing MATTHEW E. BERVEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing MATTHEW E. BERVEN
Valid signature Filed with authorized/valid electronic signature
DR. MATTHEW BERVEN 401(K) PLAN 2010 721573994 2011-10-12 DR. MATTHEW BERVEN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6123780548
Plan sponsor’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076

Plan administrator’s name and address

Administrator’s EIN 721573994
Plan administrator’s name DR. MATTHEW BERVEN, INC.
Plan administrator’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
Administrator’s telephone number 6123780548

Signature of

Role Plan administrator
Date 2011-10-12
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing MATTHEW BERVEN
Valid signature Filed with authorized/valid electronic signature
DR. MATTHEW BERVEN 401(K) PLAN 2009 721573994 2010-10-15 DR. MATTHEW BERVEN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6123780548
Plan sponsor’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076

Plan administrator’s name and address

Administrator’s EIN 721573994
Plan administrator’s name DR. MATTHEW BERVEN, INC.
Plan administrator’s address 5972 CAHILL AVE. EAST, SUITE 104, INVER GROVE HEIGHTS, MN, 55076
Administrator’s telephone number 6123780548

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing MATTHEW E. BERVEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing MATTHEW E. BERVEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Dr. Matthew E Berven Chief Executive Officer 44 Arthur Ave SE, Mpls, MN 55414, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2016-03-14
Original Filing - Business Corporation (Domestic) (Business Name: Dr. Matthew Berven, Inc.) 2003-11-07

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website