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  5. Clinical Benefit Group Inc.

Clinical Benefit Group Inc.

Company Details

Name: Clinical Benefit Group Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 28 Apr 2015 (10 years ago)
Company Number: 9f5a2347-ebed-e411-b14d-001ec94ffe7f
File Number: 824433500022
Registered Office Address: 800 Boone Avenue North, Suite 180, Golden Valley, MN 55427, USA
Principal Executive Office Address: 800 BOONE AVE N, MINNEAPOLIS, MN 55427–4468, USA
ZIP code: 55427
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLINICAL BENEFIT GROUP 401(K) PLAN 2023 473853441 2024-07-09 CLINICAL BENEFIT GROUP INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7632676648
Plan sponsor’s address 800 BOONE AVENUE NORTH, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2022 473853441 2023-05-31 CLINICAL BENEFIT GROUP INC. 49
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7632676648
Plan sponsor’s address 800 BOONE AVENUE NORTH, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2022 473853441 2023-06-29 CLINICAL BENEFIT GROUP INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7632676648
Plan sponsor’s address 800 BOONE AVENUE NORTH, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2021 473853441 2022-06-16 CLINICAL BENEFIT GROUP, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7634178888
Plan sponsor’s address 800 BOONE AVENUE NORTH, SUITE 180, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2022-06-16
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-16
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2020 473853441 2021-02-02 CLINICAL BENEFIT GROUP, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7634178888
Plan sponsor’s address 800 BOONE AVENUE NORTH, SUITE 180, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2021-02-01
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-01
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2019 473853441 2020-06-08 CLINICAL BENEFIT GROUP, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7634178888
Plan sponsor’s address 800 BOONE AVENUE NORTH, SUITE 180, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-08
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2018 473853441 2020-01-02 CLINICAL BENEFIT GROUP 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7634178888
Plan sponsor’s address 800 BOONE AVENUE N, SUITE 180, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2020-01-02
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-02
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2018 473853441 2019-06-12 CLINICAL BENEFIT GROUP 36
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7634178888
Plan sponsor’s address 800 BOONE AVENUE N, SUITE 180, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing JENNIFER MATHER
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2017 473853441 2018-10-03 CLINICAL BENEFIT GROUP 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7634178888
Plan sponsor’s address 800 BOONE AVENUE N, SUITE 180, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing MARK OLSHANSKY
Valid signature Filed with authorized/valid electronic signature
CLINICAL BENEFIT GROUP 401(K) PLAN 2016 473853441 2017-10-02 CLINICAL BENEFIT GROUP 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621610
Sponsor’s telephone number 7634178888
Plan sponsor’s address 800 BOONE AVENUE N, SUITE 180, GOLDEN VALLEY, MN, 55427

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing MARK OLSHANSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-02
Name of individual signing MARK OLSHANSKY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Roman Olshansky Chief Executive Officer 800 BOONE AVE N, MINNEAPOLIS, MN 55427–4468, USA

Agent

Name Role
Yana Zolotov Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2015-05-14
Original Filing - Business Corporation (Domestic) (Business Name: Clinical Benefit Group Inc.) 2015-04-28

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Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website

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