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  5. St. Cloud Ear, Nose & Throat Clinic, P.A.

St. Cloud Ear, Nose & Throat Clinic, P.A.

Company Details

Name: St. Cloud Ear, Nose & Throat Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 04 Nov 1971 (53 years ago)
Company Number: 953fde87-b5d4-e011-a886-001ec94ffe7f
File Number: 2A-772
Registered Office Address: 1528 Northway Drv, St Cloud, MN 56303, USA
Principal Executive Office Address: 1528 Northway Dr., 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
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. CASH BALANCE PLAN 2023 410976026 2024-08-26 ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 55
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2024-08-26
Name of individual signing THEODORE TRUITT, MD
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2023 410976026 2024-08-26 ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2024-08-26
Name of individual signing THEODORE TRUITT, MD
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. CASH BALANCE PLAN 2023 410976026 2024-11-01 ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 53
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2024-11-01
Name of individual signing THEODORE TRUITT, MD
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2022 410976026 2023-09-27 ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2023-09-27
Name of individual signing THEODORE TRUITT, MD
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. CASH BALANCE PLAN 2022 410976026 2023-09-28 ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 56
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing THEODORE TRUITT, MD
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2021 410976026 2022-07-22 ST. CLOUD EAR, NOSE & THROAT CLINIC P.A. 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing THEODORE TRUITT, MD
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. CASH BALANCE PLAN 2021 410976026 2022-07-22 ST. CLOUD EAR, NOSE & THROAT CLINIC P.A. 52
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing THEODORE TRUITT, MD
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. CASH BALANCE PLAN 2020 410976026 2021-09-27 ST. CLOUD EAR, NOSE & THROAT CLINIC P.A. 52
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing RONALD HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-27
Name of individual signing RONALD HANSON
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2020 410976026 2021-09-27 ST. CLOUD EAR, NOSE & THROAT CLINIC P.A. 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing RONALD HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-27
Name of individual signing RONALD HANSON
Valid signature Filed with authorized/valid electronic signature
ST. CLOUD EAR, NOSE & THROAT CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2019 410976026 2020-08-25 ST. CLOUD EAR, NOSE & THROAT CLINIC P.A. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 3202520233
Plan sponsor’s address 1528 NORTHWAY DRIVE, ST. CLOUD, MN, 56303

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing RONALD HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-25
Name of individual signing RONALD HANSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Eileen Dauer Chief Executive Officer 1528 Northway Dr., St Cloud, MN 56303, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) (Business Name: St. Cloud Ear, Nose & Throat Clinic, P.A.) 2015-06-26
Business Corporation (Domestic) Business Name (Business Name: ST. CLOUD EAR, NOSE AND THROAT - HEAD AND NECK CLINIC, P.A.) 1993-11-12
Business Corporation (Domestic) Active Status Report 1981-06-24
Registered Office and/or Agent - Business Corporation (Domestic) 1974-08-15
Business Corporation (Domestic) Business Name (Business Name: St. Cloud Ear, Nose and Throat Clinic, P.A.) 1974-08-15
Original Filing - Business Corporation (Domestic) 1971-11-04
Business Corporation (Domestic) Business Name (Business Name: St. Cloud Otolaryngology Associates, Inc.) 1971-11-04

Related by officers

Eileen Dauer

Reimagine Skin Spa, PLLC JSK PROPERTIES, LLC

Related by address

1528 Northway Drv, St Cloud, MN 56303, USA

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Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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