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  5. Dermatology Specialists, P.A.

Dermatology Specialists, P.A.

Company Details

Name: Dermatology Specialists, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Dec 1975 (49 years ago)
Company Number: 69c00457-aad4-e011-a886-001ec94ffe7f
File Number: 2S-213
Registered Office Address: 3316 W 66th Str #200, Edina, MN 55435, USA
Principal Executive Office Address: 3316 W 66th St STE #200, Edina, MN 55435, USA
ZIP code: 55435
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2023 411264423 2024-10-15 DERMATOLOGY SPECIALISTS, P.A. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JONI JENNEN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2022 411264423 2023-10-16 DERMATOLOGY SPECIALISTS, P.A. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing COLIN SCHULTE
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2021 411264423 2022-10-14 DERMATOLOGY SPECIALISTS, P.A. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing COLIN SCHULTE
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2020 411264423 2021-10-11 DERMATOLOGY SPECIALISTS, P.A. 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing COLIN SCHULTE
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2019 411264423 2020-10-09 DERMATOLOGY SPECIALISTS, P.A. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing TONY DAVIS
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2018 411264423 2019-10-09 DERMATOLOGY SPECIALISTS, P.A. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing TONY DAVIS
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2017 411264423 2018-08-08 DERMATOLOGY SPECIALISTS, P.A. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2018-08-08
Name of individual signing TONY DAVIS
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2016 411264423 2017-06-26 DERMATOLOGY SPECIALISTS, P.A. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing TONY DAVIS
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2015 411264423 2016-10-13 DERMATOLOGY SPECIALISTS, P.A. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing TONY DAVIS
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS, P.A. RETIREMENT PLAN 2014 411264423 2015-10-15 DERMATOLOGY SPECIALISTS, P.A. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-12-01
Business code 621111
Sponsor’s telephone number 9522852215
Plan sponsor’s address 3316 WEST 66TH ST., STE. 200, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing TONY DAVIS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Joni Jennen Chief Executive Officer 3316 W 66th St STE #200, Edina, MN 55435, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2008-09-08
Administrative Dissolution - Business Corporation (Domestic) 2008-01-09
Business Corporation (Domestic) Business Name (Business Name: Dermatology Specialists, P.A.) 1994-10-06
Business Corporation (Domestic) Active Status Report 1980-03-04
Registered Office and/or Agent - Business Corporation (Domestic) 1980-02-27
Original Filing - Business Corporation (Domestic) 1975-12-30
Business Corporation (Domestic) Business Name (Business Name: Dermatology Specialist, P.A.) 1975-12-30

Related by officers

Joni Jennen

Minnesota Dermatology Collaborative L.L.C.

Related by address

3316 W 66th Str #200, Edina, MN 55435, USA

Minnesota Dermatology Collaborative L.L.C.

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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