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  5. Prior Lake Pet Hospital

Prior Lake Pet Hospital

Company Details

Name: Prior Lake Pet Hospital
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 09 Mar 1992 (33 years ago)
Company Number: a455ea1f-afd4-e011-a886-001ec94ffe7f
File Number: 114937
Principal Place of Business Address: 16680 Franklin Trl SE, Prior Lake, MN 55372, USA
ZIP code: 55372
County: Scott County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2023 550370972 2024-09-26 PRIOR LAKE PET HOSPITAL 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2024-09-26
Name of individual signing KOURTNEY ROSE
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2022 550370972 2023-08-01 PRIOR LAKE PET HOSPITAL 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2023-08-01
Name of individual signing KOURTNEY ROSE
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2021 550370972 2022-09-28 PRIOR LAKE PET HOSPITAL 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing KOURTNEY ROSE
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2020 550370972 2021-06-16 PRIOR LAKE PET HOSPITAL 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing JOSHUA ALBRIGHT
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2019 550370972 2020-10-13 PRIOR LAKE PET HOSPITAL 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JOSHUA ALBRIGHT
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2018 550370972 2019-09-13 PRIOR LAKE PET HOSPITAL 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2019-09-13
Name of individual signing KOURTNEY ROSE
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2017 550370972 2018-06-13 PRIOR LAKE PET HOSPITAL 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing KOURTNEY ROSE
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2016 550370972 2017-07-31 PRIOR LAKE PET HOSPITAL 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing KOURTNEY ROSE
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2015 550370972 2016-07-07 PRIOR LAKE PET HOSPITAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541940
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLINA TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing KOURTNEY ROSE
Valid signature Filed with authorized/valid electronic signature
PRIOR LAKE PET HOSPITAL 401(K) PLAN 2014 550370972 2015-05-08 PRIOR LAKE PET HOSPITAL 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 812910
Sponsor’s telephone number 9524472855
Plan sponsor’s address 16680 FRANKLIN TRAIL SE, PRIOR LAKE, MN, 55372

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing JOSHUA ALBRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-07
Name of individual signing JOSHUA ALBRIGHT
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Prior Lake Animal Hospital, PA Aplicant 16680 Franklin Trl SE, Prior Lake, MN 55372

Filing

Filing Name Filing date
Annual Reinstatement - Assumed Name 2016-10-20
Administrative Expiration - Assumed Name 2015-06-03
Assumed Name Nameholder 2010-12-06
Assumed Name Renewal 2001-09-25
Original Filing - Assumed Name 1992-03-09
Assumed Name Business Name (Business Name: Prior Lake Pet Hospital) 1992-03-09

Related by officers

No related officers

Related by address

16680 Franklin Trl SE, Prior Lake, MN 55372, USA

Prior Lake Animal Hospital PA Companion Animal Veterinarians, P.A. Prior Lake Animal Real Estate, LLC

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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