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  5. Adult and Pediatric Urology, P.L.L.P.

Adult and Pediatric Urology, P.L.L.P.

Company Details

Name: Adult and Pediatric Urology, P.L.L.P.
Jurisdiction: Minnesota
Legal type: Limited Liability Partnership (Domestic)
Status: Inactive
Date formed: 31 Jan 2002 (23 years ago)
Company Number: 6763bcbf-9ad4-e011-a886-001ec94ffe7f
File Number: 10261-LLP
Chief Executive Office Address: 2351 Connecticut Ave S #200, Sartell, MN 56377, USA
ZIP code: 56377
County: Stearns County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADULT AND PEDIATRIC UROLOGY, P. L. L. P. CASH BALANCE PLAN 2015 411400034 2016-03-30 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVE S., SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2016-03-30
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-30
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P. L. L. P. 401(K) PROFIT SHARING PLAN 2015 411400034 2016-03-30 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVENUE S SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2016-03-30
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-30
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 401(K) PROFIT SHARING PLAN 2014 411400034 2015-05-26 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVENUE S SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-26
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. CASH BALANCE PLAN 2014 411400034 2015-05-26 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 69
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVE S., SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-26
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. CASH BALANCE PLAN 2013 411400034 2014-09-17 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVE S., SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-17
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 401(K) PROFIT SHARING PLAN 2013 411400034 2014-04-30 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVENUE S SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2014-04-30
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-30
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. CASH BALANCE PLAN 2012 411400034 2013-09-16 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVE S., SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2013-09-16
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-16
Name of individual signing CHRISTOPHER BOELTER, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 401(K) PROFIT SHARING PLAN 2012 411400034 2013-07-09 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVENUE S SUITE 200, SARTELL, MN, 56377

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing HENRI P. LANCTIN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-09
Name of individual signing HENRI P. LANCTIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. CASH BALANCE PLAN 2011 411400034 2012-10-10 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVE S., SUITE 200, SARTELL, MN, 56377

Plan administrator’s name and address
Administrator’s EIN 411400034
Plan administrator’s name ADULT AND PEDIATRIC UROLOGY, P.L.L.P.
Plan administrator’s address 2351 CONNECTICUT AVE S., SUITE 200, SARTELL, MN, 56377
Administrator’s telephone number 3202591411

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing HENRI P. LANCTIN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing HENRI P. LANCTIN, M.D.
Valid signature Filed with authorized/valid electronic signature
ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 401(K) PROFIT SHARING PLAN 2011 411400034 2012-04-16 ADULT AND PEDIATRIC UROLOGY, P.L.L.P. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 3202591411
Plan sponsor’s address 2351 CONNECTICUT AVENUE S SUITE 200, SARTELL, MN, 56377

Plan administrator’s name and address
Administrator’s EIN 411400034
Plan administrator’s name ADULT AND PEDIATRIC UROLOGY, P.L.L.P.
Plan administrator’s address 2351 CONNECTICUT AVENUE S SUITE 200, SARTELL, MN, 56377
Administrator’s telephone number 3202591411

Signature of
Role Plan administrator
Date 2012-04-14
Name of individual signing HENRI P. LANCTIN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-14
Name of individual signing HENRI P. LANCTIN, M.D.
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing date
Statement of Cancellation - Limited Liability Partnership (Domestic) 2017-12-29
Statement of Dissolution - Limited Liability Partnership (Domestic) 2017-12-29
Annual Reinstatement - Limited Liability Partnership (Domestic) 2016-04-14
Revocation - Limited Liability Partnership (Domestic) 2016-03-14
Original Filing - Limited Liability Partnership (Domestic) 2002-01-31
Limited Liability Partnership (Domestic) Chief Executive Office 2002-01-31
Limited Liability Partnership (Domestic) Business Name (Business Name: Adult and Pediatric Urology, P.L.L.P.) 2002-01-31

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Related by address

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Date of last update: 23 Sep 2024

Sources: Minnesota's Official State Website

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