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Michael D. Sufka, O.D., P.A.

Company Details

Name: Michael D. Sufka, O.D., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 21 May 2003 (22 years ago)
Company Number: 92c8b9ec-b7d4-e011-a886-001ec94ffe7f
File Number: 12S-125
Registered Office Address: 1545 Northway Drv, St Cloud, MN 56303, USA
Principal Executive Office Address: 1545 Northway Drive, St. Cloud, MN 56303, USA
ZIP code: 56303
County: Stearns County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2020 870698736 2021-01-27 MICHAEL D. SUFKA O.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2021-01-27
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2019 870698736 2020-07-21 MICHAEL D. SUFKA O.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2018 870698736 2019-07-23 MICHAEL D. SUFKA O.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2019-07-23
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2017 870698736 2018-05-11 MICHAEL D. SUFKA O.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2018-05-11
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2016 870698736 2017-06-16 MICHAEL D. SUFKA O.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2017-06-16
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2015 870698736 2016-08-01 MICHAEL D. SUFKA O.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2016-08-01
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2014 870698736 2015-10-07 MICHAEL D. SUFKA O.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2013 870698736 2014-07-31 MICHAEL D. SUFKA O.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2012 870698736 2013-10-10 MICHAEL D. SUFKA O.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Plan administrator’s name and address

Administrator’s EIN 870698736
Plan administrator’s name MICHAEL D. SUFKA O.D., P.A.
Plan administrator’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303
Administrator’s telephone number 3202532441

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. SUFKA O.D., P.A. 401(K) PLAN 2011 870698736 2012-07-31 MICHAEL D. SUFKA O.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3202532441
Plan sponsor’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303

Plan administrator’s name and address

Administrator’s EIN 870698736
Plan administrator’s name MICHAEL D. SUFKA O.D., P.A.
Plan administrator’s address 1545 NORTHWAY DRIVE, SUITE 120, ST. CLOUD, MN, 56303
Administrator’s telephone number 3202532441

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing MICHAEL D. SUFKA
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Mike Sufka Chief Executive Officer 1545 Northway Drive, St. Cloud, MN 56303, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2022-01-25
Original Filing - Business Corporation (Domestic) (Business Name: Michael D. Sufka, O.D., P.A.)Professional Service - Optometry 2003-05-21

Date of last update: 05 Oct 2024

Sources: Minnesota's Official State Website