| Name: | Ear, Nose & Throat SpecialtyCare of Minnesota, P.A. |
| Jurisdiction: | Minnesota |
| Legal type: | Name Reservation |
| Status: | Inactive |
| Date formed: | 25 Jul 1996 (29 years ago) |
| Company Number: | adeb5608-bbd4-e011-a886-001ec94ffe7f |
| File Number: | RN-22106 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EAR, NOSE, & THROAT SPECIALTYCARE OF MINNESOTA, P. A. SECTION 401(K) PLAN AND TRUST | 2019 | 410951475 | 2020-10-13 | EAR, NOSE, & THROAT SPECIALTYCARE OF MINNESOTA, P.A. | 114 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2020-10-13 |
| Name of individual signing | RICHARD BELIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-10-13 |
| Name of individual signing | RICHARD BELIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1969-07-09 |
| Business code | 621111 |
| Sponsor’s telephone number | 6128711144 |
| Plan sponsor’s address | 2211 PARK AVENUE SOUTH, MINNEAPOLIS, MN, 55404 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-08 |
| Name of individual signing | RICHARD BELIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-10-08 |
| Name of individual signing | RICHARD BELIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Todd I Freeman | Aplicant | 7900 Xerxes Ave S #1500, Blmgtn, MN 55431 |
| Filing Name | Filing date |
|---|---|
| Consent to Use of Name - Name Reservation | 1996-10-02 |
| Original Filing - Name Reservation | 1996-07-25 |
| Name Reservation Business Name (Business Name: Ear, Nose & Throat SpecialtyCare of Minnesota, P.A.) | 1996-07-25 |
Date of last update: 12 Feb 2025
Sources: Minnesota's Official State Website
