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Specialists in General Surgery, Ltd.

Company Details

Name: Specialists in General Surgery, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Oct 1974 (50 years ago)
Company Number: 92b6f0b1-a5d4-e011-a886-001ec94ffe7f
File Number: 2N-98
Registered Office Address: 9825 Hospital Drv #105, Maple Grove, MN 55369, USA
Principal Executive Office Address: 9825 HOSPITAL DR STE 105, MAPLE GROVE, MN 55369–4769, USA
ZIP code: 55369
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2023 411242581 2024-02-29 SPECIALISTS IN GENERAL SURGERY, LTD. 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634206699
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2024-02-28
Name of individual signing ADRIANNE BOWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-28
Name of individual signing ADRIANNE BOWEN
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2022 411242581 2023-05-12 SPECIALISTS IN GENERAL SURGERY, LTD. 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7637806699
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2023-05-10
Name of individual signing ADRIANNE BOWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-10
Name of individual signing ADRIANNE BOWEN
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2021 411242581 2022-02-14 SPECIALISTS IN GENERAL SURGERY, LTD. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2022-02-14
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-14
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2020 411242581 2021-07-12 SPECIALISTS IN GENERAL SURGERY, LTD. 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-12
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2019 411242581 2020-09-28 SPECIALISTS IN GENERAL SURGERY, LTD. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2020-09-28
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-28
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2018 411242581 2019-02-19 SPECIALISTS IN GENERAL SURGERY, LTD. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2019-02-18
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-18
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2017 411242581 2018-07-24 SPECIALISTS IN GENERAL SURGERY, LTD. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2018-04-30
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-30
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2016 411242581 2017-07-05 SPECIALISTS IN GENERAL SURGERY, LTD. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2017-06-30
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-30
Name of individual signing ANITA CASKEY
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2015 411242581 2016-06-07 SPECIALISTS IN GENERAL SURGERY, LTD. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2016-06-07
Name of individual signing JONATHAN C. GIPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-07
Name of individual signing JONATHAN C. GIPSON
Valid signature Filed with authorized/valid electronic signature
SPECIALISTS IN GENERAL SURGERY, LTD. 401(K) PROFIT SHARING PLAN 2014 411242581 2015-07-07 SPECIALISTS IN GENERAL SURGERY, LTD. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-11-01
Business code 621111
Sponsor’s telephone number 7634200533
Plan sponsor’s address 9825 HOSPITAL DRIVE, SUITE 105, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2015-07-07
Name of individual signing DARLA MORRIS-PREBLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-07
Name of individual signing DARLA MORRIS-PREBLE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Adrianne L Bowen, MD Chief Executive Officer 9825 HOSPITAL DR STE 105, MAPLE GROVE, MN 55369–4769, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2008-10-16
Administrative Dissolution - Business Corporation (Domestic) 2008-01-09
Business Corporation (Domestic) Active Status Report 1980-09-30
Business Corporation (Domestic) Business Name (Business Name: Specialists in General Surgery, Ltd.) 1980-08-21
Business Corporation (Domestic) Business Name (Business Name: Drs. Baker and Batalden, P.A.) 1978-05-05
Registered Office and/or Agent - Business Corporation (Domestic) 1976-09-16
Original Filing - Business Corporation (Domestic) 1974-10-30
Business Corporation (Domestic) Business Name (Business Name: Daniel R. Baker, M.D., P.A.) 1974-10-30

Date of last update: 05 Jan 2025

Sources: Minnesota's Official State Website