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  5. Ear Specialty Center

Ear Specialty Center

Company Details

Name: Ear Specialty Center
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 03 Feb 2011 (14 years ago)
Company Number: 9a042343-97d4-e011-a886-001ec94ffe7f
File Number: 4166251-2
Principal Place of Business Address: 8714 Lyndale Ave S, Blmgtn, MN 55420, USA
ZIP code: 55420
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAR SPECIALTY CENTER 401(K) PROFIT SHARING PLAN 2011 411639577 2012-07-18 EAR SPECIALTY CENTER 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 9529489695
Plan sponsor’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738

Plan administrator’s name and address
Administrator’s EIN 411639577
Plan administrator’s name EAR SPECIALTY CENTER
Plan administrator’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738
Administrator’s telephone number 9529489695

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing RICK NISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing RICK NISSEN
Valid signature Filed with authorized/valid electronic signature
EAR SPECIALTY CENTER 401(K) PROFIT SHARING PLAN 2011 411639577 2012-07-18 EAR SPECIALTY CENTER 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 9529489695
Plan sponsor’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738

Plan administrator’s name and address
Administrator’s EIN 411639577
Plan administrator’s name EAR SPECIALTY CENTER
Plan administrator’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738
Administrator’s telephone number 9529489695

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing RICK NISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing RICK NISSEN
Valid signature Filed with incorrect/unrecognized electronic signature
EAR SPECIALTY CENTER 401(K) PROFIT SHARING PLAN 2010 411639577 2011-10-13 EAR SPECIALTY CENTER 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 9529489695
Plan sponsor’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738

Plan administrator’s name and address
Administrator’s EIN 411639577
Plan administrator’s name EAR SPECIALTY CENTER
Plan administrator’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738
Administrator’s telephone number 9529489695

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing RICK NISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing RICK NISSEN
Valid signature Filed with authorized/valid electronic signature
EAR SPECIALTY CENTER 401(K) PROFIT SHARING PLAN 2009 411639577 2010-10-14 EAR SPECIALTY CENTER 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 9529489695
Plan sponsor’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738

Plan administrator’s name and address
Administrator’s EIN 411639577
Plan administrator’s name EAR SPECIALTY CENTER
Plan administrator’s address 8714 LYNDALE AVENUE SOUTH, BLOOMINGTON, MN, 554202738
Administrator’s telephone number 9529489695

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing RICK NISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing RICK NISSEN
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Rick L Nissen Aplicant 19801 Stieg Rd, Corcoran, MN 55374

Filing

Filing Name Filing date
Expired - Assumed Name 2021-02-04
Original Filing - Assumed Name (Business Name: Ear Specialty Center) 2011-02-03

Related by officers

No related officers

Related by address

8714 Lyndale Ave S, Blmgtn, MN 55420, USA

Brent Mohlenhoff Insurance Agency, Inc.

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website

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