Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. St. Louis County
    4. ›
  4. 55802
    5. ›
  5. DERIN J. VAN LOON, O.D., P.A.

DERIN J. VAN LOON, O.D., P.A.

Company Details

Name: DERIN J. VAN LOON, O.D., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 Jul 2005 (19 years ago)
Company Number: 7d3f0001-8cd4-e011-a886-001ec94ffe7f
File Number: 1434574-2
Registered Office Address: 213 W 1st Str, Duluth, MN 55802, USA
Principal Executive Office Address: 213 W 1ST ST, DULUTH, MN 55802–1985, USA
ZIP code: 55802
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2023 680612445 2024-10-02 DERIN J. VAN LOON O.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing DERIN J. VAN LOON, O.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-02
Name of individual signing DERIN J. VAN LOON, O.D.
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2022 680612445 2023-10-11 DERIN J. VAN LOON O.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-11
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2021 680612445 2022-06-22 DERIN J. VAN LOON O.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing DERIN J. VAN LOON, O.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing DERIN J. VAN LOON, O.D.
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2020 680612445 2021-08-16 DERIN J. VAN LOON O.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2021-08-16
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-16
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2019 680612445 2020-10-14 DERIN J. VAN LOON O.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2018 680612445 2019-07-15 DERIN J. VAN LOON O.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing DERIN VAN LOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-15
Name of individual signing DERIN J. VAN LOON, O.D., P.A.
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2017 680612445 2018-10-23 DERIN J. VAN LOON O.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2018-10-23
Name of individual signing DERIN VAN LOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-23
Name of individual signing DERIN VAN LOON
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2016 680612445 2017-09-22 DERIN J. VAN LOON O.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2017-09-22
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-22
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2015 680612445 2016-06-14 DERIN J. VAN LOON O.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621320
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2016-06-14
Name of individual signing DERIN J. VAN LOON
Valid signature Filed with authorized/valid electronic signature
DERIN J. VAN LOON O.D., P.A. 401(K) PLAN 2014 680612445 2015-10-05 DERIN J. VAN LOON O.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-01-01
Business code 621210
Sponsor’s telephone number 2187271004
Plan sponsor’s address 213 WEST FIRST STREET, DULUTH, MN, 55802

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing DERIN VAN LOON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Derin Van Loon Chief Executive Officer 5307 IDLEWILD ST, DULUTH, MN 55804–1129, USA

Agent

Name Role
Derin J Van Loon Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2016-09-12
Administrative Dissolution Name Hold Release - Business Corporation (Domestic) 2013-08-02
Administrative Dissolution - Business Corporation (Domestic) 2012-08-01
Original Filing - Business Corporation (Domestic) (Business Name: DERIN J. VAN LOON, O.D., P.A.)Professional Service - Optometry 2005-07-14

Related by officers

No related officers

Related by address

213 W 1st Str, Duluth, MN 55802, USA

Jeffrey S Blustin, O.D., P.A. L & L Management Group, LLC Blustin Optical Center

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 mnprof.com, Part of Big Data Integrated