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  5. Richie Eye Clinic

Richie Eye Clinic

Company Details

Name: Richie Eye Clinic
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 28 Nov 2005 (19 years ago)
Company Number: a63e3fa8-8cd4-e011-a886-001ec94ffe7f
File Number: 1600593-3
Principal Place of Business Address: 633 SE 1st Str #100, Faribault, MN 55021, USA
ZIP code: 55021
County: Rice County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2023 412010939 2024-09-11 RICHIE EYE CLINIC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2022 412010939 2023-07-11 RICHIE EYE CLINIC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-11
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2021 412010939 2022-06-19 RICHIE EYE CLINIC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2022-06-19
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-19
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2020 412010939 2021-04-21 RICHIE EYE CLINIC 48
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing MICHAEL RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-21
Name of individual signing MICHAEL RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2020 412010939 2021-04-22 RICHIE EYE CLINIC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2021-04-22
Name of individual signing MICHAEL RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-22
Name of individual signing MICHAEL RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2019 412010939 2020-06-04 RICHIE EYE CLINIC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2020-06-04
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-04
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2018 412010939 2019-07-17 RICHIE EYE CLINIC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-17
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2017 412010939 2018-06-05 RICHIE EYE CLINIC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-05
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2016 412010939 2017-06-16 RICHIE EYE CLINIC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing MICHAEL RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-16
Name of individual signing MICHAEL RICHIE
Valid signature Filed with authorized/valid electronic signature
RICHIE EYE CLINIC 401(K) PROFIT SHARING PLAN 2015 412010939 2016-07-14 RICHIE EYE CLINIC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621320
Sponsor’s telephone number 5073329900
Plan sponsor’s address 1575 20TH STREET NW, SUITE 101, FARIBAULT, MN, 55021

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-14
Name of individual signing MICHAEL G RICHIE
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Eye Clinic of Faribault PA Aplicant 633 SE 1st Str #100, Faribault, MN 55021

Filing

Filing Name Filing date
Annual Reinstatement - Assumed Name 2021-01-05
Administrative Expiration - Assumed Name 2017-02-21
Original Filing - Assumed Name (Business Name: Richie Eye Clinic) 2005-11-28

Related by officers

No related officers

Related by address

633 SE 1st Str #100, Faribault, MN 55021, USA

Crossroads Skincare, P.A.

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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