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North Central Pathology, P.A.

Company Details

Name: North Central Pathology, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 16 Nov 1973 (51 years ago)
Company Number: 79a232a1-b5d4-e011-a886-001ec94ffe7f
File Number: 2I-1156
Registered Office Address: 3701 12th Str N #201, St Cloud, MN 56303, USA
Principal Executive Office Address: 3701 12th St N #201, St Cloud, MN 56303, USA
ZIP code: 56303
County: Stearns County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH CENTRAL PATHOLOGY, P. A. PROFIT SHARING 401(K) PLAN 2018 411227471 2019-07-27 NORTH CENTRAL PATHOLOGY, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET N, SUITE 201, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2019-07-27
Name of individual signing KIMMIE RABE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-27
Name of individual signing KIMMIE RABE
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P. A. PROFIT SHARING 2018 411227471 2019-08-22 NORTH CENTRAL PATHOLOGY, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET N, SUITE 201, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2019-08-22
Name of individual signing KIMMIE RABE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-22
Name of individual signing KIMMIE RABE
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P. A. PROFIT SHARING 401(K) PLAN 2017 411227471 2018-06-25 NORTH CENTRAL PATHOLOGY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET N, SUITE 201, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2018-06-25
Name of individual signing KIMMIE RABE
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P. A. PROFIT SHARING 401(K) PLAN 2016 411227471 2017-07-14 NORTH CENTRAL PATHOLOGY, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET N, SUITE 201, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2017-07-14
Name of individual signing DR. KIMMIE E. RABE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing DR. KIMMIE E. RABE
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P. A. PROFIT SHARING 401(K) PLAN 2015 411227471 2016-07-18 NORTH CENTRAL PATHOLOGY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET N, SUITE 201, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2016-07-18
Name of individual signing DR. KIMMIE E. RABE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-18
Name of individual signing DR. KIMMIE E. RABE
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P.A. PROFIT SHARING PLAN 2014 411227471 2015-05-07 NORTH CENTRAL PATHOLOGY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET NORTH STE 201, ST. CLOUD, MN, 563032253

Signature of

Role Plan administrator
Date 2015-05-07
Name of individual signing KIMMIE RABE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-07
Name of individual signing KIMMIE RABE, MD
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P.A. PROFIT SHARING PLAN 2013 411227471 2014-07-30 NORTH CENTRAL PATHOLOGY, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET NORTH STE 201, ST. CLOUD, MN, 563032253

Signature of

Role Plan administrator
Date 2014-07-30
Name of individual signing LISA LUND
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P.A. PROFIT SHARING PLAN 2012 411227471 2013-07-03 NORTH CENTRAL PATHOLOGY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET NORTH STE 201, ST. CLOUD, MN, 563032253

Signature of

Role Plan administrator
Date 2013-07-03
Name of individual signing LISA LUND
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P.A. PROFIT SHARING PLAN 2011 411227471 2012-07-05 NORTH CENTRAL PATHOLOGY, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET NORTH STE 201, ST. CLOUD, MN, 563032253

Plan administrator’s name and address

Administrator’s EIN 411227471
Plan administrator’s name NORTH CENTRAL PATHOLOGY, P.A.
Plan administrator’s address 3701 12TH STREET NORTH STE 201, ST. CLOUD, MN, 563032253
Administrator’s telephone number 3202536554

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing LISA LUND
Valid signature Filed with authorized/valid electronic signature
NORTH CENTRAL PATHOLOGY, P.A. PROFIT SHARING PLAN 2010 411227471 2011-06-29 NORTH CENTRAL PATHOLOGY, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621510
Sponsor’s telephone number 3202536554
Plan sponsor’s address 3701 12TH STREET NORTH STE 201, ST. CLOUD, MN, 563032253

Plan administrator’s name and address

Administrator’s EIN 411227471
Plan administrator’s name NORTH CENTRAL PATHOLOGY, P.A.
Plan administrator’s address 3701 12TH STREET NORTH STE 201, ST. CLOUD, MN, 563032253
Administrator’s telephone number 3202536554

Signature of

Role Plan administrator
Date 2011-06-29
Name of individual signing LISA LUND
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Michelle Hanson Chief Executive Officer 3701 12th St N #201, St Cloud, MN 56303, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2020-12-15
Intent to Dissolve - Business Corporation (Domestic) 2020-07-31
Annual Reinstatement - Business Corporation (Domestic) 2020-07-30
Administrative Dissolution - Business Corporation (Domestic) 2020-02-20
Business Corporation (Domestic) Active Status Report 1982-08-18
Registered Office and/or Agent - Business Corporation (Domestic) 1982-08-13
Original Filing - Business Corporation (Domestic) 1973-11-16
Business Corporation (Domestic) Business Name (Business Name: North Central Pathology, P.A.) 1973-11-16

Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website