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Edina Eye Clinic, P.A.

Company Details

Name: Edina Eye Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 01 Sep 1970 (54 years ago)
Company Number: af972eb0-a0d4-e011-a886-001ec94ffe7f
File Number: 1W-653
Registered Office Address: 3939 W 50th Str #200, Edina, MN 55424, USA
Principal Executive Office Address: STE 200, 3939 W 50TH ST, EDINA, MN 55424–1258, USA
ZIP code: 55424
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDINA EYE CLINIC, P.A. PENSION PLAN 2023 410968103 2024-05-28 EDINA EYE CLINIC, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 9529202020
Plan sponsor’s address 3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424

Signature of

Role Plan administrator
Date 2024-05-28
Name of individual signing TIMOTHY GROMOV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-28
Name of individual signing TIMOTHY GROMOV
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN 2022 410968103 2023-04-12 EDINA EYE CLINIC, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 9529202020
Plan sponsor’s address 3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424

Signature of

Role Plan administrator
Date 2023-04-12
Name of individual signing TIMOTHY GROMOV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-12
Name of individual signing TIMOTHY GROMOV
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN 2021 410968103 2022-08-22 EDINA EYE CLINIC, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 9529202020
Plan sponsor’s address 3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424

Signature of

Role Plan administrator
Date 2022-08-15
Name of individual signing RHONDI MEIUSI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-15
Name of individual signing RHONDI MEIUSI
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN 2020 410968103 2021-10-07 EDINA EYE CLINIC, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 9529202020
Plan sponsor’s address 3939 WEST 50TH STREET, SUITE 200, EDINA, MN, 55424

Signature of

Role Plan administrator
Date 2021-10-07
Name of individual signing TIMOTHY GROMOV
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing TIMOTHY GROMOV
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN & TRUST 2019 410968103 2020-07-10 EDINA EYE CLINIC, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 9522534225
Plan sponsor’s address 3939 W 50TH STREET, SUITE 200, EDINA, MN, 554241244

Signature of

Role Plan administrator
Date 2020-07-10
Name of individual signing NICHOLAS KUNZ
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN & TRUST 2018 410968103 2019-07-31 EDINA EYE CLINIC, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 9522534225
Plan sponsor’s address 3939 W 50TH STREET, SUITE 200, EDINA, MN, 554241244

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing NICHOLAS KUNZ
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN & TRUST 2017 410968103 2018-09-21 EDINA EYE CLINIC, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621111
Sponsor’s telephone number 9522534225
Plan sponsor’s address 3939 W 50TH STREET, SUITE 200, EDINA, MN, 554241244

Signature of

Role Plan administrator
Date 2018-09-21
Name of individual signing NICHOLAS KUNZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-21
Name of individual signing NICHOLAS KUNZ
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN AND TRUST 2016 410968103 2017-05-26 EDINA EYE CLINIC, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621320
Sponsor’s telephone number 9529202020
Plan sponsor’s address 3939 W.50TH ST. 200, EDINA, MN, 554241258

Signature of

Role Plan administrator
Date 2017-05-26
Name of individual signing WENDI JOHNSTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-26
Name of individual signing WENDI JOHNSTON
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN AND TRUST 2015 410968103 2016-07-19 EDINA EYE CLINIC, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621320
Sponsor’s telephone number 9529202020
Plan sponsor’s address 3939 W.50TH ST. 200, EDINA, MN, 554241258

Signature of

Role Plan administrator
Date 2016-07-19
Name of individual signing WENDI
Valid signature Filed with authorized/valid electronic signature
EDINA EYE CLINIC, P.A. PENSION PLAN AND TRUST 2014 410968103 2015-07-10 EDINA EYE CLINIC, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-10-01
Business code 621320
Sponsor’s telephone number 9529202020
Plan sponsor’s address 3939 W.50TH ST. 200, EDINA, MN, 554241258

Signature of

Role Plan administrator
Date 2015-07-10
Name of individual signing NICHOLAS KUNZ
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Rhondi S Meiusi Chief Executive Officer STE 200, 3939 W 50TH ST, EDINA, MN 55424–1258, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Change of Shares Restated Articles 2016-07-11
Annual Reinstatement - Business Corporation (Domestic) 2008-10-06
Administrative Dissolution - Business Corporation (Domestic) 2008-01-09
Business Corporation (Domestic) Business Name (Business Name: Edina Eye Clinic, P.A.) 1971-02-25
Original Filing - Business Corporation (Domestic) 1970-09-01
Business Corporation (Domestic) Business Name (Business Name: Larson, Ltd.) 1970-09-01

Date of last update: 31 Dec 2024

Sources: Minnesota's Official State Website