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  5. Dermatology Consultants P.A.

Dermatology Consultants P.A.

Company Details

Name: Dermatology Consultants P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 18 Jun 1971 (54 years ago)
Company Number: a4e48652-9cd4-e011-a886-001ec94ffe7f
File Number: 1Z-348
Registered Office Address: 576 BIELENBERG DR #200, WOODBURY, MN 55125, USA
Principal Executive Office Address: 576 BIELENBERG DR STE 200, WOODBURY, MN 55125–1735, United States
ZIP code: 55125
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY CONSULTANTS, P. A. CASH BALANCE PENSION PLAN 2023 410972960 2024-06-03 DERMATOLOGY CONSULTANTS, P. A. 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 6512091600
Plan sponsor’s address 576 BIELENBERG DRIVE, SUITE 200, WOODBURY, MN, 55125
DERMATOLOGY CONSULTANTS, P. A. CASH BALANCE PENSION PLAN 2022 410972960 2023-06-06 DERMATOLOGY CONSULTANTS, P. A. 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 6512091600
Plan sponsor’s address 576 BIELENBERG DRIVE, SUITE 200, WOODBURY, MN, 55125
DERMATOLOGY CONSULTANTS, P. A. CASH BALANCE PENSION PLAN 2021 410972960 2022-06-17 DERMATOLOGY CONSULTANTS, P. A. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 6512091600
Plan sponsor’s address 60 PLATO BLVD. E., SUITE 270, SAINT PAUL, MN, 55107
DERMATOLOGY CONSULTANTS OF ST. PAUL PROFIT SHARING PLAN 2012 410972960 2013-08-20 DERMATOLOGY CONSULTANTS, P.A. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-06-27
Business code 621111
Sponsor’s telephone number 6512091600
Plan sponsor’s mailing address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107
Plan sponsor’s address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107

Plan administrator’s name and address
Administrator’s EIN 410972960
Plan administrator’s name DERMATOLOGY CONSULTANTS, P.A.
Plan administrator’s address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107
Administrator’s telephone number 6512091600

Number of participants as of the end of the plan year
Active participants 98
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 108
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2013-08-20
Name of individual signing SUSAN ROCKWOOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-20
Name of individual signing SUSAN ROCKWOOD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CONSULTANTS OF ST. PAUL PROFIT SHARING PLAN 2011 410972960 2012-11-27 DERMATOLOGY CONSULTANTS, P.A. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-06-27
Business code 621111
Sponsor’s telephone number 6512091600
Plan sponsor’s mailing address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107
Plan sponsor’s address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107

Plan administrator’s name and address
Administrator’s EIN 410972960
Plan administrator’s name DERMATOLOGY CONSULTANTS, P.A.
Plan administrator’s address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107
Administrator’s telephone number 6512091600

Number of participants as of the end of the plan year
Active participants 85
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 13
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 97
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2012-11-27
Name of individual signing SUSAN ROCKWOOD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CONSULTANTS OF ST. PAUL PROFIT SHARING PLAN 2010 410972960 2012-03-13 DERMATOLOGY CONSULTANTS, P.A. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-06-27
Business code 621111
Sponsor’s telephone number 6512919166
Plan sponsor’s mailing address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107
Plan sponsor’s address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107

Plan administrator’s name and address
Administrator’s EIN 410972960
Plan administrator’s name DERMATOLOGY CONSULTANTS, P.A.
Plan administrator’s address 60 PLATO BLVD. E. SUITE 270, SAINT PAUL, MN, 55107
Administrator’s telephone number 6512919166

Number of participants as of the end of the plan year
Active participants 87
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 15
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 96
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-03-13
Name of individual signing SUSAN ROCKWOOD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CONSULTANTS OF ST. PAUL PROFIT SHARING PLAN 2009 410972960 2011-02-18 DERMATOLOGY CONSULTANTS P.A. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-06-27
Business code 621111
Sponsor’s telephone number 6512091627
Plan sponsor’s address 60 PLATO BLVD EAST, SUITE 270, ST. PAUL, MN, 55107

Plan administrator’s name and address
Administrator’s EIN 410972960
Plan administrator’s name DERMATOLOGY CONSULTANTS P.A.
Plan administrator’s address 60 PLATO BLVD EAST, SUITE 270, ST. PAUL, MN, 55107
Administrator’s telephone number 6512091627

Signature of
Role Plan administrator
Date 2011-02-18
Name of individual signing JERRY W STANKE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-18
Name of individual signing JERRY W STANKE, MD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
William O Kenney Chief Executive Officer 576 BIELENBERG DR STE 200, WOODBURY, MN 55125–1735, United States

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2020-04-15
Administrative Dissolution - Business Corporation (Domestic) 2020-02-20
Amendment - Business Corporation (Domestic)Change of Shares Restated Articles 2012-08-21
Business Corporation (Domestic) Business Name (Business Name: Dermatology Consultants P.A.) 1987-04-22
Merger - Business Corporation (Domestic) 1984-06-28
Business Corporation (Domestic) Business Name (Business Name: Dermatology Consultants, Saint Paul, P.A.) 1984-04-05
Business Corporation (Domestic) Business Name (Business Name: Dermatology Associates, Saint Paul, P.A.) 1982-04-02
Business Corporation (Domestic) Business Name (Business Name: Ravits, Anderson, Leahy & Diercks, P.A.) 1976-06-18
Registered Office and/or Agent - Business Corporation (Domestic) 1975-06-04
Original Filing - Business Corporation (Domestic) 1971-06-18

Related by officers

No related officers

Related by address

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Date of last update: 18 Jan 2025

Sources: Minnesota's Official State Website

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