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  5. Cambridge Eye Associates, P.A.

Cambridge Eye Associates, P.A.

Company Details

Name: Cambridge Eye Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 11 Jun 2002 (23 years ago)
Company Number: a217f55d-abd4-e011-a886-001ec94ffe7f
File Number: 12F-227
Registered Office Address: 120 1st Ave E, Cambridge, MN 55008, USA
Principal Executive Office Address: 120 East First Ave., Cambridge, MN 55008, USA
ZIP code: 55008
County: Isanti County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2020 460489115 2021-04-12 CAMBRIDGE EYE ASSOCIATES P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Signature of
Role Plan administrator
Date 2021-04-12
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2020 460489115 2021-11-20 CAMBRIDGE EYE ASSOCIATES P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Signature of
Role Plan administrator
Date 2021-11-20
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2019 460489115 2020-07-02 CAMBRIDGE EYE ASSOCIATES P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2018 460489115 2019-07-03 CAMBRIDGE EYE ASSOCIATES P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 460489115
Plan administrator’s name CAMBRIDGE EYE ASSOCIATES P.A.
Plan administrator’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636891494

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2017 460489115 2018-06-04 CAMBRIDGE EYE ASSOCIATES P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 460489115
Plan administrator’s name CAMBRIDGE EYE ASSOCIATES P.A.
Plan administrator’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636891494

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2016 460489115 2017-04-25 CAMBRIDGE EYE ASSOCIATES P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 460489115
Plan administrator’s name CAMBRIDGE EYE ASSOCIATES P.A.
Plan administrator’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636891494

Signature of
Role Plan administrator
Date 2017-04-25
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2015 460489115 2016-10-12 CAMBRIDGE EYE ASSOCIATES P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 460489115
Plan administrator’s name CAMBRIDGE EYE ASSOCIATES P.A.
Plan administrator’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636891494

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2014 460489115 2015-08-24 CAMBRIDGE EYE ASSOCIATES P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 460489115
Plan administrator’s name CAMBRIDGE EYE ASSOCIATES P.A.
Plan administrator’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636891494

Signature of
Role Plan administrator
Date 2015-08-24
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2013 460489115 2014-10-14 CAMBRIDGE EYE ASSOCIATES P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 460489115
Plan administrator’s name CAMBRIDGE EYE ASSOCIATES P.A.
Plan administrator’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636891494

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE EYE ASSOCIATES P.A. SAFE HARBOR 401(K) PLAN 2012 460489115 2013-10-08 CAMBRIDGE EYE ASSOCIATES P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621320
Sponsor’s telephone number 7636891494
Plan sponsor’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 460489115
Plan administrator’s name CAMBRIDGE EYE ASSOCIATES P.A.
Plan administrator’s address 120 FIRST AVENUE E, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636891494

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing JODINE JANZEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Chadwick A Christenson Chief Executive Officer 120 East First Ave., Cambridge, MN 55008, USA

Filing

Filing Name Filing date
Converted to Limited Liability Company (Domestic) 2021-05-26
Original Filing - Business Corporation (Domestic) (Business Name: Cambridge Eye Associates, P.A.)Professional Service - Optometry 2002-06-11

Related by officers

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Related by address

120 1st Ave E, Cambridge, MN 55008, USA

BCG Properties, LLC

Date of last update: 23 Sep 2024

Sources: Minnesota's Official State Website

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