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  5. Blaine Central Veterinary Clinic

Blaine Central Veterinary Clinic

Company Details

Name: Blaine Central Veterinary Clinic
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 12 Jul 2022 (3 years ago)
Company Number: 7b7ae422-2802-ed11-9060-00155d01c614
File Number: 1321398600023
Principal Place of Business Address: 2181 108th Lane Northeast, Blaine, MN 55449, USA
ZIP code: 55449
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLAINE CENTRAL VETERINARY CLINIC 2020 204003081 2021-02-18 BLAINE CENTRAL VETERINARY CLINIC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541940
Sponsor’s telephone number 7637922337
Plan sponsor’s address 10950 CLUB W PARKWAY NE, BLAINE, MN, 55449

Signature of
Role Plan administrator
Date 2021-02-18
Name of individual signing DAN SODERBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-18
Name of individual signing DAN SODERBERG
Valid signature Filed with authorized/valid electronic signature
BLAINE CENTRAL VETERINARY CLINIC PA 401(K) PLAN 2019 204003081 2020-06-30 BLAINE CENTRAL VETERINARY CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541940
Sponsor’s telephone number 7637922337
Plan sponsor’s address 10950 CLUB W PARKWAY NE, BLAINE, MN, 55449

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing DAN SODERBERG
Valid signature Filed with authorized/valid electronic signature
BLAINE CENTRAL VETERINARY CLINIC PA 401(K) PLAN 2019 204003081 2020-06-15 BLAINE CENTRAL VETERINARY CLINIC 16
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541940
Sponsor’s telephone number 7637922337
Plan sponsor’s address 10950 CLUB W PARKWAY NE, BLAINE, MN, 55449

Signature of
Role Plan administrator
Date 2020-06-15
Name of individual signing DSODERBERG5746
Valid signature Filed with authorized/valid electronic signature
BLAINE CENTRAL VETERINARY CLINIC PA 401(K) PLAN 2018 204003081 2019-05-23 BLAINE CENTRAL VETERINARY CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541940
Sponsor’s telephone number 7637922337
Plan sponsor’s address 10950 CLUB W PARKWAY NE, BLAINE, MN, 55449

Signature of
Role Plan administrator
Date 2019-05-23
Name of individual signing DAN SODERBERG
Valid signature Filed with authorized/valid electronic signature
BLAINE CENTRAL VETERINARY CLINIC PA 401(K) PLAN 2017 204003081 2018-06-05 BLAINE CENTRAL VETERINARY CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541940
Sponsor’s telephone number 7637922337
Plan sponsor’s address 10950 CLUB W PARKWAY NE, BLAINE, MN, 55449

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing DAN SODERBERG
Valid signature Filed with authorized/valid electronic signature
BLAINE CENTRAL VETERINARY CLINIC PA 401(K) PLAN 2016 204003081 2017-05-19 BLAINE CENTRAL VETERINARY CLINIC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541940
Sponsor’s telephone number 7637922337
Plan sponsor’s address 10950 CLUB W PARKWAY NE, BLAINE, MN, 55449

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing DAN SODERBERG
Valid signature Filed with authorized/valid electronic signature
BLAINE CENTRAL VETERINARY CLINIC PA 401(K) PLAN 2015 204003081 2016-05-23 BLAINE CENTRAL VETERINARY CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541940
Sponsor’s telephone number 7637922337
Plan sponsor’s address 10950 CLUB W PARKWAY NE, BLAINE, MN, 55449

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing DAN SODERBERG
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Lakefield Veterinary Group, Inc. Aplicant 19717 62nd Ave S. Suite F103, Kent, WA 98032

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Blaine Central Veterinary Clinic) 2022-07-12

Related by officers

Lakefield Veterinary Group, Inc.

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Related by address

No related companies by address

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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