Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hennepin County
    4. ›
  4. 55435
    5. ›
  5. Premier OBGYN of Minnesota, P.A.

Premier OBGYN of Minnesota, P.A.

Company Details

Name: Premier OBGYN of Minnesota, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 26 Jul 1974 (50 years ago)
Company Number: 7f6527ef-b3d4-e011-a886-001ec94ffe7f
File Number: 2M-38
Registered Office Address: 3625 W 65th Str #100, Edina, MN 55435, USA
Principal Executive Office Address: 3625 W 65TH STREET, SUITE 100, EDINA, MN 55435, USA
ZIP code: 55435
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OAKDALE OBSTETRICS & GYNECOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2012 411236623 2013-11-14 PREMIER OBGYN OF MINNESOTA, P.A. 63
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1972-06-06
Business code 621111
Plan sponsor’s address 3366 OAKDALE AVENUE NORTH STE. 450, MINNEAPOLIS, MN, 55422

Signature of
Role Plan administrator
Date 2013-11-14
Name of individual signing JON S. NIELSEN
Valid signature Filed with authorized/valid electronic signature
METROPOLITIAN OBSTETRICS & GYNECOLOGY, P.A. PROFIT SHARING PLAN 2012 411236623 2013-11-12 PREMIER OBGYN OF MINNESOTA, P.A. 60
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2006-01-01
Business code 621111
Plan sponsor’s address 14001 RIDGEDALE DRIVE, SUITE 200, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2013-11-12
Name of individual signing MICHAEL DUNN
Valid signature Filed with authorized/valid electronic signature
OAKDALE OBSTETRICS & GYNECOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2012 411236623 2013-09-11 PREMIER OBGYN OF MINNESOTA, P.A. 64
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1972-06-06
Business code 621111
Sponsor’s telephone number 7635877002
Plan sponsor’s address 3366 OAKDALE AVENUE NORTH STE. 450, MINNEAPOLIS, MN, 55422

Signature of
Role Plan administrator
Date 2013-09-11
Name of individual signing JON S. NIELSEN
Valid signature Filed with authorized/valid electronic signature
PREMIER OBGYN OF MINNESOTA, P.A. PROFIT SHARING PLAN 2012 411236623 2013-07-24 PREMIER OBGYN OF MINNESOTA, P.A. 70
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 9522492052
Plan sponsor’s address 14001 RIDGEDALE DRIVE SUITE 200, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing JO-JEAN CHAMAS
Valid signature Filed with authorized/valid electronic signature
PREMIER OBGYN OF MINNESOTA, P.A. PROFIT SHARING PLAN 2011 411236623 2012-07-24 PREMIER OBGYN OF MINNESOTA, P.A. 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 9522492052
Plan sponsor’s address 14001 RIDGEDALE DRIVE SUITE 200, MINNETONKA, MN, 55305

Plan administrator’s name and address
Administrator’s EIN 411236623
Plan administrator’s name PREMIER OBGYN OF MINNESOTA, P.A.
Plan administrator’s address 14001 RIDGEDALE DRIVE SUITE 200, MINNETONKA, MN, 55305
Administrator’s telephone number 9522492052

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing JO-JEAN CHAMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-24
Name of individual signing WESLEY R GROOTWASSNK
Valid signature Filed with authorized/valid electronic signature
OAKDALE OBSTETRICS & GYNECOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2011 411236623 2012-08-02 PREMIER OBGYN OF MINNESOTA, P. A. 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-06-06
Business code 621111
Sponsor’s telephone number 7635877002
Plan sponsor’s address 3366 OAKDALE AVENUE NORTH STE. 450, MINNEAPOLIS, MN, 55422

Plan administrator’s name and address
Administrator’s EIN 411236623
Plan administrator’s name PREMIER OBGYN OF MINNESOTA, P. A.
Plan administrator’s address 3366 OAKDALE AVENUE NORTH STE. 450, MINNEAPOLIS, MN, 55422
Administrator’s telephone number 7635877002

Signature of
Role Plan administrator
Date 2012-08-02
Name of individual signing JON S. NIELSEN
Valid signature Filed with authorized/valid electronic signature
OAKDALE OBSTETRICS & GYNECOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2011 411236623 2013-07-11 PREMIER OBGYN OF MINNESOTA, P. A. 64
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1972-06-06
Business code 621111
Sponsor’s telephone number 7635877002
Plan sponsor’s address 3366 OAKDALE AVENUE NORTH STE. 450, MINNEAPOLIS, MN, 55422

Plan administrator’s name and address
Administrator’s EIN 411236623
Plan administrator’s name PREMIER OBGYN OF MINNESOTA, P.A.
Plan administrator’s address 3366 OAKDALE AVENUE NORTH STE. 450, MINNEAPOLIS, MN, 55422
Administrator’s telephone number 7635877002

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
JON NIELSON Chief Executive Officer 5700 BOTTINEAU BLVD #210, CRYSTAL, MN 55429, USA

Filing

Filing Name Filing date
Converted to Limited Liability Company (Domestic) 2019-12-12
Merger Survivor - Business Corporation (Domestic) 2011-12-30
Business Corporation (Domestic) Restated Articles 2011-04-01
Merger - Business Corporation (Domestic) 2011-04-01
Business Corporation (Domestic) Change of Shares 2011-04-01
Business Corporation (Domestic) Business Name (Business Name: Premier OBGYN of Minnesota, P.A.) 2011-04-01
Registered Office and/or Agent - Business Corporation (Domestic) 2004-06-10
Consent to Use of Name - Business Corporation (Domestic) 1988-06-29
Business Corporation (Domestic) Active Status Report 1981-04-01
Business Corporation (Domestic) Business Name (Business Name: Obstetrics & Gynecology West, P.A.) 1974-07-26

Related by officers

No related officers

Related by address

3625 W 65th Str #100, Edina, MN 55435, USA

SOUTHDALE INVESTMENT COMPANY, L.L.P. SOUTHDALE INVESTMENT COMPANY, L.L.P. SOUTHDALE INVESTMENT COMPANY, L.L.P. Southdale Obstetric & Gynecologic Consultants

Date of last update: 01 Dec 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