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  5. Shakopee Vision Clinic

Shakopee Vision Clinic

Company Details

Name: Shakopee Vision Clinic
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 14 Nov 2019 (5 years ago)
Company Number: 7d1fbbc3-1107-ea11-9188-00155d01b4fc
File Number: 1118164400022
Principal Place of Business Address: 1731 17th Avenue E., Shakopee, MN 55379, USA
ZIP code: 55379
County: Scott County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2019 411445557 2020-11-09 SHAKOPEE VISION CLINIC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2020-11-09
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-11-09
Name of individual signing STEVE CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2019 411445557 2020-05-21 SHAKOPEE VISION CLINIC 27
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Employer/plan sponsor
Date 2020-05-21
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2019 411445557 2020-05-21 SHAKOPEE VISION CLINIC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-21
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2018 411445557 2019-06-05 SHAKOPEE VISION CLINIC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2017 411445557 2018-06-20 SHAKOPEE VISION CLINIC 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-20
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2016 411445557 2017-09-26 SHAKOPEE VISION CLINIC 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2017-09-26
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-26
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2015 411445557 2016-07-06 SHAKOPEE VISION CLINIC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-06
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2014 411445557 2015-07-28 SHAKOPEE VISION CLINIC 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-28
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2013 411445557 2014-07-09 SHAKOPEE VISION CLINIC 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-09
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
SHAKOPEE VISION CLINIC 401K PROFIT SHARING PLAN 2012 411445557 2013-07-23 SHAKOPEE VISION CLINIC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621320
Sponsor’s telephone number 9524455600
Plan sponsor’s address 1731 17TH AVENUE E, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing STEVEN P. CONSOER
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Clarkson Eyecare, LLC Aplicant 15933 Clayton Road, Suite 210, Ballwin, MO 63011

Filing

Filing Name Filing date
Administrative Expiration - Assumed Name 2021-02-16
Original Filing - Assumed Name (Business Name: Shakopee Vision Clinic) 2019-11-14

Related by officers

Clarkson Eyecare, LLC

Oxboro Eye Clinic Chanhassen Vision Clinic

Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Minnesota's Official State Website

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