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  5. Vitreoretinal Surgery, P.A.

Vitreoretinal Surgery, P.A.

Company Details

Name: Vitreoretinal Surgery, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 29 Mar 1988 (37 years ago)
Company Number: 6bca4e63-9fd4-e011-a886-001ec94ffe7f
File Number: 5W-785
Registered Office Address: 3601 W. 76th Street, Suite 300, 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
VITREORETINAL SURGERY, P.A. PROFIT SHARING PLAN 2015 411608615 2016-06-06 VITREORETINAL SURGERY, P.A. 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9529291131
Plan sponsor’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing GRETCHEN POFFENBERGER
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL SURGERY, P.A. PROFIT SHARING PLAN 2014 411608615 2015-03-30 VITREORETINAL SURGERY, P.A. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9529291131
Plan sponsor’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435

Signature of
Role Plan administrator
Date 2015-03-30
Name of individual signing GRETCHEN POFFENBERGER
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL SURGERY, P.A. PROFIT SHARING PLAN 2013 411608615 2014-04-04 VITREORETINAL SURGERY, P.A. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9529291131
Plan sponsor’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435

Signature of
Role Plan administrator
Date 2014-04-04
Name of individual signing GRETCHEN POFFENBERGER
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL SURGERY, P.A. PROFIT SHARING PLAN 2012 411608615 2013-04-24 VITREORETINAL SURGERY, P.A. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9529291131
Plan sponsor’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411608615
Plan administrator’s name VITREORETINAL SURGERY, P.A.
Plan administrator’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435
Administrator’s telephone number 9529291131

Signature of
Role Plan administrator
Date 2013-04-24
Name of individual signing GRETCHEN POFFENBERGER
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL SURGERY, P.A. PROFIT SHARING PLAN 2011 411608615 2012-07-09 VITREORETINAL SURGERY, P.A. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9529291131
Plan sponsor’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411608615
Plan administrator’s name VITREORETINAL SURGERY, P.A.
Plan administrator’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435
Administrator’s telephone number 9529291131

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing GRETCHEN POFFENBERGER
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL SURGERY, P.A. PROFIT SHARING PLAN 2010 411608615 2011-06-10 VITREORETINAL SURGERY, P.A. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9529291131
Plan sponsor’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411608615
Plan administrator’s name VITREORETINAL SURGERY, P.A.
Plan administrator’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435
Administrator’s telephone number 9529291131

Signature of
Role Plan administrator
Date 2011-06-10
Name of individual signing GRETCHEN POFFENBERGER
Valid signature Filed with authorized/valid electronic signature
VITREORETINAL SURGERY, P.A. PROFIT SHARING PLAN 2009 411608615 2010-09-24 VITREORETINAL SURGERY, P.A. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 9529291131
Plan sponsor’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411608615
Plan administrator’s name VITREORETINAL SURGERY, P.A.
Plan administrator’s address MINNESOTA CENTER, SUITE 310, 7760 FRANCE AVENUE SOUTH, MINNEAPOLIS, MN, 55435
Administrator’s telephone number 9529291131

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing GRETCHEN POFFENBERGER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
David F Williams Chief Executive Officer 3601 W. 76th Street, Suite 300, Edina, MN 55435, USA

Agent

Name Role
David F Williams Agent

Filing

Filing Name Filing date
Converted to Limited Liability Company (Domestic) 2020-09-02
Amendment - Business Corporation (Domestic)Change of Shares 2012-12-28
Registered Office and/or Agent - Business Corporation (Domestic) 1991-03-27
Business Corporation (Domestic) Business Name (Business Name: Vitreoretinal Surgery, P.A.) 1989-01-18
Original Filing - Business Corporation (Domestic) 1988-03-29
Business Corporation (Domestic) Business Name (Business Name: Robert C. Ramsay, M.D., P.A.) 1988-03-29

Related by officers

David F Williams

VitreoRetinal Surgery, PLLC Patient Benefit Services, LLC Vitreoretinal Surgery Holdings, Inc.

Related by address

3601 W. 76th Street, Suite 300, Edina, MN 55435, USA

Vitreoretinal Surgery Foundation Patient Benefit Services, LLC

Date of last update: 07 Jan 2025

Sources: Minnesota's Official State Website

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