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  5. Northland Plastic Surgery, P.A.

Northland Plastic Surgery, P.A.

Company Details

Name: Northland Plastic Surgery, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 22 Mar 1996 (29 years ago)
Company Number: 96fc2787-b7d4-e011-a886-001ec94ffe7f
File Number: 9C-480
Registered Office Address: 1420 London Rd, Duluth, MN 55805, USA
Principal Executive Office Address: STE 109, 4316 RICE LAKE RD, DULUTH, MN 55811–2885, USA
ZIP code: 55805
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING WITH TRADITIONAL 401(K)PLAN 2023 411841249 2024-07-03 NORTHLAND PLASTIC SURGERY, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address 4316 RICE LAKE RD, STE 109, DULUTH, MN, 55811

Signature of
Role Plan administrator
Date 2024-07-03
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2022 411841249 2023-07-24 NORTHLAND PLASTIC SURGERY, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address 1420 LONDON RD STE 101, DULUTH, MN, 55805

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2021 411841249 2022-09-27 NORTHLAND PLASTIC SURGERY, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2020 411841249 2021-06-18 NORTHLAND PLASTIC SURGERY, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2021-06-18
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2019 411841249 2020-07-08 NORTHLAND PLASTIC SURGERY, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2018 411841249 2019-06-20 NORTHLAND PLASTIC SURGERY, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2017 411841249 2018-07-09 NORTHLAND PLASTIC SURGERY, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2016 411841249 2017-06-19 NORTHLAND PLASTIC SURGERY, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2015 411841249 2016-05-17 NORTHLAND PLASTIC SURGERY, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing RACHAEL PERLINGER
Valid signature Filed with authorized/valid electronic signature
NORTHLAND PLASTIC SURGERY, P.A. PROFIT SHARING PLA 2014 411841249 2015-07-02 NORTHLAND PLASTIC SURGERY, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2187247363
Plan sponsor’s address LAKECENTER, 1420 LONDON ROAD, SUITE 101, DULUTH, MN, 558052425

Signature of
Role Plan administrator
Date 2015-07-02
Name of individual signing RACHAEL NYENHUIS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Dean Weber Chief Executive Officer STE 109, 4316 RICE LAKE RD, DULUTH, MN 55811–2885, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1999-08-31
Original Filing - Business Corporation (Domestic) 1996-03-22
Business Corporation (Domestic) Business Name (Business Name: Northland Plastic Surgery, P.A.) 1996-03-22

Related by officers

Dean Weber

Foley Medical Supply Inc. LAKEWALK SURGERY CENTER, INC.

Related by address

1420 London Rd, Duluth, MN 55805, USA

Lakewalk Cosmetic Dental Lab, LLC LAKEWALK SURGERY CENTER, INC.

STE 109, 4316 RICE LAKE RD, DULUTH, MN 55811–2885, USA

Fall General Surgery LLC

Date of last update: 01 Nov 2024

Sources: Minnesota's Official State Website

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