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  5. UNITED FAMILY PRACTICE HEALTH CENTER

UNITED FAMILY PRACTICE HEALTH CENTER

Company Details

Name: UNITED FAMILY PRACTICE HEALTH CENTER
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 Mar 2003 (22 years ago)
Company Number: 5a3d06f4-b2d4-e011-a886-001ec94ffe7f
File Number: 2B-498
Registered Office Address: 1026 W 7th St, St. Paul, MN 55102–5510, USA
ZIP code: 55102
County: Ramsey County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
D1MWC7E2K444 2024-12-05 1026 7TH ST W, SAINT PAUL, MN, 55102, 3828, USA 1026 W 7TH ST, SAINT PAUL, MN, 55102, 3828, USA

Business Information
Doing Business As UNITED FAMILY MEDICINE
URL http://www.unitedfamilymedicine.org
Congressional District 04
State/Country of Incorporation MN, USA
Activation Date 2023-12-20
Initial Registration Date 2006-11-30
Entity Start Date 2004-03-13
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621498

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LORI ZOOK
Role CHIEF FINANCIAL OFFICER
Address 1026 7TH ST W, SAINT PAUL, MN, 55102, 3828, USA
Government Business
Title PRIMARY POC
Name LORI ZOOK
Role CHIEF FINANCIAL OFFICER
Address 1026 7TH ST W, SAINT PAUL, MN, 55102, 3828, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF UNITED FAMILY PRACTICE HEALTH CENTER 2021 270052697 2022-10-12 UNITED FAMILY PRACTICE HEALTH CENTER 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6517589500
Plan sponsor’s address 1026 7TH ST W, SAINT PAUL, MN, 551023828

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing SVETLANA BASKAKOVA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing SVETLANA BASKAKOVA
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF UNITED FAMILY PRACTICE HEALTH CENTER 2020 270052697 2021-07-15 UNITED FAMILY PRACTICE HEALTH CENTER 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411000
Plan sponsor’s address 1026 7TH ST W, SAINT PAUL, MN, 551023828

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing ANN NYAKUNDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-15
Name of individual signing ANN NYAKUNDI
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF UNITED FAMILY PRACTICE HEALTH CENTER 2019 270052697 2020-07-20 UNITED FAMILY PRACTICE HEALTH CENTER 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411000
Plan sponsor’s address 1026 7TH ST W, SAINT PAUL, MN, 551023828

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing ANN NYAKUNDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-20
Name of individual signing ANN NYAKUNDI
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR UNITED FAMILY HEALTH CENTER 2013 270052697 2014-05-28 UNITED FAMILY PRACTICE HEALTH CENTER 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411027
Plan sponsor’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2014-05-28
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B)RETIREMENT PLAN FOR UNITED FAMILY PRACTICE HEALTH CENTER 2012 270052697 2013-06-26 UNITED FAMILY PRACTICE HEALTH CENTER 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411027
Plan sponsor’s DBA name UNITED FAMIY MEDICINE
Plan sponsor’s mailing address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102
Plan sponsor’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102

Number of participants as of the end of the plan year
Active participants 97
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR UNITED FAMILY HEALTH CENTER 2011 270052697 2012-09-10 UNITED FAMILY PRACTICE HEALTH CENTER 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411027
Plan sponsor’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 270052697
Plan administrator’s name UNITED FAMILY PRACTICE HEALTH CENTER
Plan administrator’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102
Administrator’s telephone number 6512411027

Signature of
Role Plan administrator
Date 2012-09-10
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-10
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR UNITED FAMILY PRACTICE HEALTH CENTER 2010 270052697 2011-07-20 UNITED FAMILY PRACTICE HEALTH CENTER 78
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411027
Plan sponsor’s DBA name UNITED FAMILY MEDICINE
Plan sponsor’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 270052697
Plan administrator’s name UNITED FAMILY PRACTICE HEALTH CENTER
Plan administrator’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102
Administrator’s telephone number 6512411027

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR UNITED FAMILY PRACTICE HEALTH CENTER 2010 270052697 2011-07-25 UNITED FAMILY PRACTICE HEALTH CENTER 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411027
Plan sponsor’s DBA name UNITED FAMILY MEDICINE
Plan sponsor’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 270052697
Plan administrator’s name UNITED FAMILY PRACTICE HEALTH CENTER
Plan administrator’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102
Administrator’s telephone number 6512411027

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature
UNITED FAMILY PRACTICE HEALTH CENTER 2009 270052697 2010-07-07 UNITED FAMILY PRACTICE HEALTH CENTER No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411027
Plan sponsor’s DBA name UNITED FAMILY MEDICIND
Plan sponsor’s mailing address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102
Plan sponsor’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 270052697
Plan administrator’s name UNITED FAMILY PRACTICE HEALTH CENTER
Plan administrator’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102
Administrator’s telephone number 6512411027

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature
SECTION 403(B) RETIREMENT PLAN FOR UNITED FAMILY PRACTICE HEALTH CENTER 2009 270052697 2010-07-23 UNITED FAMILY PRACTICE HEALTH CENTER 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6512411027
Plan sponsor’s DBA name UNITED FAMILY MEDICINE
Plan sponsor’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102

Plan administrator’s name and address
Administrator’s EIN 270052697
Plan administrator’s name UNITED FAMILY PRACTICE HEALTH CENTER
Plan administrator’s address 1026 WEST 7TH STREET, ST. PAUL, MN, 55102
Administrator’s telephone number 6512411027

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing STEVEN FICKS
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
David Thorson President 1026 West 7th Street, St. Paul, MN 55102, United States

Agent

Name Role
Lacy Brick Agent

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2007-04-16
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2007-04-16
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2005-09-20
Original Filing - Nonprofit Corporation (Domestic) 2003-03-14
Nonprofit Corporation (Domestic) Business Name (Business Name: UNITED FAMILY PRACTICE HEALTH CENTER) 2003-03-14

Related by officers

David Thorson

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Related by address

No related companies by address

Date of last update: 16 Dec 2024

Sources: Minnesota's Official State Website

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