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Two Rivers Lung Specialists, P.A.

Company Details

Name: Two Rivers Lung Specialists, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 21 Feb 2002 (23 years ago)
Company Number: 7ed1d9ba-9dd4-e011-a886-001ec94ffe7f
File Number: 12A-397
Registered Office Address: 301 Wyndham Circ E, New Brighton, MN 55112, USA
Principal Executive Office Address: 301 Wyndham Cir E, New Brighton, MN 55112–3158, USA
ZIP code: 55112
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TWO RIVERS LUNG SPECIALISTS RETIREMENT PLAN 2011 753004638 2012-09-14 TWO RIVERS LUNG SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7632369494
Plan sponsor’s address 301 WYNDHAM CIRCLE E., NEW BRIGHTON, MN, 55112

Plan administrator’s name and address

Administrator’s EIN 753004638
Plan administrator’s name TWO RIVERS LUNG SPECIALISTS, P.A.
Plan administrator’s address 301 WYNDHAM CIRCLE E., NEW BRIGHTON, MN, 55112
Administrator’s telephone number 7632369494

Signature of

Role Plan administrator
Date 2012-09-14
Name of individual signing JEANNE M. NELSON MD
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS LUNG SPECIALISTS RETIREMENT PLAN 2010 753004638 2011-10-06 TWO RIVERS LUNG SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7632369494
Plan sponsor’s address 301 WYNDHAM CIRCLE E., NEW BRIGHTON, MN, 55112

Plan administrator’s name and address

Administrator’s EIN 753004638
Plan administrator’s name TWO RIVERS LUNG SPECIALISTS, P.A.
Plan administrator’s address 301 WYNDHAM CIRCLE E., NEW BRIGHTON, MN, 55112
Administrator’s telephone number 7632369494

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing JEANNE M. NELSON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS LUNG SPECIALISTS RETIREMENT PLAN 2009 753004638 2010-07-27 TWO RIVERS LUNG SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7632369494
Plan sponsor’s address 301 WYNDHAM CIRCLE E., NEW BRIGHTON, MN, 55112

Plan administrator’s name and address

Administrator’s EIN 753004638
Plan administrator’s name TWO RIVERS LUNG SPECIALISTS, P.A.
Plan administrator’s address 301 WYNDHAM CIRCLE E., NEW BRIGHTON, MN, 55112
Administrator’s telephone number 7632369494

Signature of

Role Plan administrator
Date 2010-07-27
Name of individual signing NANCY MANARY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jeanne Nelson Chief Executive Officer 301 Wyndham Cir E, New Brighton, MN 55112–3158, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2011-09-29
Original Filing - Business Corporation (Domestic) (Business Name: Two Rivers Lung Specialists, P.A.)Professional Service - Medicine & Surgery 2002-02-21

Date of last update: 16 Jan 2025

Sources: Minnesota's Official State Website