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  5. LAKE CEDAR PHARMACY

LAKE CEDAR PHARMACY

Company Details

Name: LAKE CEDAR PHARMACY
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 22 Jun 2010 (15 years ago)
Company Number: 618e7618-96d4-e011-a886-001ec94ffe7f
File Number: 3889661-3
Principal Place of Business Address: 2423 E Franklin Ave, Mpls, MN 55408, USA
ZIP code: 55408
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2023 264011614 2024-06-14 LAKE CEDAR PHARMACY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2024-06-14
Name of individual signing SAIDA MOHAMED
Valid signature Filed with authorized/valid electronic signature
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2023 264011614 2024-01-04 LAKE CEDAR PHARMACY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2024-01-04
Name of individual signing SAIDA
Valid signature Filed with authorized/valid electronic signature
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2022 264011614 2023-04-26 LAKE CEDAR PHARMACY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2023-04-26
Name of individual signing SAIDA F MOHAMED
Valid signature Filed with authorized/valid electronic signature
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2021 264011614 2022-10-17 LAKE CEDAR PHARMACY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing SAIDA F MOHAMED
Valid signature Filed with authorized/valid electronic signature
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2021 264011614 2022-10-17 LAKE CEDAR PHARMACY 1
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing SAIDA F MOHAMED
Valid signature Filed with authorized/valid electronic signature
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2021 264011614 2022-10-17 LAKE CEDAR PHARMACY 1
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing SAIDA F MOHAMED
Valid signature Filed with authorized/valid electronic signature
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2020 264011614 2022-10-17 LAKE CEDAR PHARMACY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing SAIDA F MOHAMED
Valid signature Filed with authorized/valid electronic signature
LAKE CEDAR PHARMACY 401(K) PROFIT SHARING PLAN & TRUST 2019 264011614 2022-10-17 LAKE CEDAR PHARMACY 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 446110
Sponsor’s telephone number 6123535532
Plan sponsor’s address 2423 E FRANKLIN AVE, MINNEAPOLIS, MN, 55406

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing SAIDA F MOHAMED
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Saida Mohamed Aplicant 526 121st Ave NE, Blaine, MN 55434

Filing

Filing Name Filing date
Expired - Assumed Name 2020-06-23
Amendment - Assumed Name 2014-10-16
Original Filing - Assumed Name (Business Name: LAKE CEDAR PHARMACY) 2010-06-22

Related by officers

Saida Mohamed

Lake Cedar Pharmacy LLC Cedar Lake Pharmacy, LLC

Related by address

No related companies by address

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website

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