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Mind Shift

Company Details

Name: Mind Shift
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 18 Mar 2016 (9 years ago)
Company Number: 6115f765-3ced-e511-8167-00155d01c56d
File Number: 879757400025
Principal Place of Business Address: 9712 Trenton Lane N, Maple Grove, MN 55369, USA
ZIP code: 55369
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIND SHIFT 401(K) PLAN 2020 473064122 2021-11-02 MIND SHIFT 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541600
Sponsor’s telephone number 6127231215
Plan sponsor’s address 6110 BLUE CIRCLE DRIVE, SUITE 220, HOPKINS, MN, 55343

Signature of

Role Plan administrator
Date 2021-11-02
Name of individual signing KELLY DURANTE
Valid signature Filed with authorized/valid electronic signature
MIND SHIFT 401(K) PLAN 2020 473064122 2021-06-29 MIND SHIFT 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541600
Sponsor’s telephone number 6127231215
Plan sponsor’s address 6110 BLUE CIRCLE DRIVE, SUITE 220, HOPKINS, MN, 55343

Signature of

Role Plan administrator
Date 2021-06-29
Name of individual signing KELLY DURANTE
Valid signature Filed with authorized/valid electronic signature
MIND SHIFT 401(K) PLAN 2019 473064122 2020-07-10 MIND SHIFT 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541600
Sponsor’s telephone number 6127231215
Plan sponsor’s address 6110 BLUE CIRCLE DRIVE, SUITE 220, HOPKINS, MN, 55343

Signature of

Role Plan administrator
Date 2020-07-10
Name of individual signing KELLY DURANTE
Valid signature Filed with authorized/valid electronic signature
MIND SHIFT 401(K) PLAN 2018 473064122 2019-07-25 MIND SHIFT 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541600
Sponsor’s telephone number 6127231215
Plan sponsor’s address 6110 BLUE CIRCLE DRIVE, SUITE 220, HOPKINS, MN, 55343

Signature of

Role Plan administrator
Date 2019-07-25
Name of individual signing NAZARENO REGALBUTO
Valid signature Filed with authorized/valid electronic signature
MIND SHIFT 401(K) PLAN 2017 473064122 2018-07-25 MIND SHIFT 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541600
Sponsor’s telephone number 6127231215
Plan sponsor’s address 6110 BLUE CIRCLE DRIVE, SUITE 220, HOPKINS, MN, 55343

Aplicant

Name Role Address
Mind Shift Aplicant 9712 Trenton Lane N, Maple Grove, MN 55369

Filing

Filing Name Filing date
Cancellation - Assumed Name 2016-05-18
Original Filing - Assumed Name (Business Name: Mind Shift) 2016-03-18

Date of last update: 07 Jan 2025

Sources: Minnesota's Official State Website