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  5. Patricia Verby Psychological Services, Inc.

Patricia Verby Psychological Services, Inc.

Company Details

Name: Patricia Verby Psychological Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 22 Mar 2000 (25 years ago)
Company Number: 953f8cbd-abd4-e011-a886-001ec94ffe7f
File Number: 11B-878
Registered Office Address: 1751 Southcross Drv W, Burnsville, MN 55306–7012, USA
Principal Executive Office Address: 1751 SOUTHCROSS DR W, BURNSVILLE, MN 55306–7012, USA
ZIP code: 55306
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2023 411968480 2024-03-25 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2024-03-25
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-25
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2022 411968480 2023-06-13 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2023-06-13
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-13
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2021 411968480 2022-02-23 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2022-02-23
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-23
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2020 411968480 2021-02-08 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2021-02-04
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-04
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2019 411968480 2020-03-31 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2020-03-30
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-30
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2018 411968480 2019-04-08 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2019-04-08
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-08
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2017 411968480 2018-04-25 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2018-04-25
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-25
Name of individual signing JANET BAGNIEFSKI
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2016 411968480 2017-09-14 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing JANET BETTING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-14
Name of individual signing JANET BETTING
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2015 411968480 2016-06-23 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2016-06-23
Name of individual signing JANET BETTING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-23
Name of individual signing JANET BETTING
Valid signature Filed with authorized/valid electronic signature
PATRICIA VERBY PSYCHOLOGICAL SERVICES 401(K) PROFIT SHARING PLAN 2014 411968480 2015-09-15 PATRICIA VERBY PSYCHOLOGICAL SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621330
Sponsor’s telephone number 9528927690
Plan sponsor’s address 1751 SOUTHCROSS DR. W., BURNSVILLE, MN, 553067012

Signature of
Role Plan administrator
Date 2015-09-15
Name of individual signing JANET BETTING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-15
Name of individual signing JANET BETTING
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
David R Bradshaw Chief Executive Officer 1751 SOUTHCROSS DR W, BURNSVILLE, MN 55306–7012, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2008-04-30
Original Filing - Business Corporation (Domestic) 2000-03-22
Business Corporation (Domestic) Business Name (Business Name: Patricia Verby Psychological Services, Inc.) 2000-03-22

Related by officers

David R Bradshaw

Interphaze, Inc.

Related by address

No related companies by address

Date of last update: 09 Dec 2024

Sources: Minnesota's Official State Website

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