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  5. High Pointe Surgery Center

High Pointe Surgery Center

Company Details

Name: High Pointe Surgery Center
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 01 Nov 2022 (2 years ago)
Company Number: afd46927-145a-ed11-906b-00155d32b947
File Number: 1346094300028
Principal Place of Business Address: 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042–5504, United States
ZIP code: 55042
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGH POINTE SURGERY CENTER 401K PLAN 2017 411890436 2018-08-07 HIGH POINTE SURGERY CENTER 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621900
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2018-08-07
Name of individual signing MONICA AARTHUN
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2016 411890436 2017-08-11 HIGH POINTE SURGERY CENTER 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2017-08-11
Name of individual signing MONICA AARTHUN
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2015 411890436 2016-10-03 HIGH POINTE SURGERY CENTER 72
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N STE 235, LAKE ELMO, MN, 550428480

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2015 411890436 2016-10-03 HIGH POINTE SURGERY CENTER 72
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2015 411890436 2016-10-14 HIGH POINTE SURGERY CENTER 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2014 411890436 2015-09-03 HIGH POINTE SURGERY CENTER 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2015-09-03
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-03
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2013 411890436 2014-06-02 HIGH POINTE SURGERY CENTER 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2014-06-02
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-02
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2012 411890436 2013-05-10 HIGH POINTE SURGERY CENTER 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2013-05-10
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-10
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2011 411890436 2012-06-15 HIGH POINTE SURGERY CENTER 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027400
Plan sponsor’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042

Plan administrator’s name and address
Administrator’s EIN 411890436
Plan administrator’s name HIGH POINTE SURGERY CENTER
Plan administrator’s address 8650 HUDSON BLVD N SUITE 235, LAKE ELMO, MN, 55042
Administrator’s telephone number 6517027400

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-15
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
HIGH POINTE SURGERY CENTER 401K PLAN 2010 411890436 2011-08-17 HIGH POINTE SURGERY CENTER 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-05-01
Business code 621493
Sponsor’s telephone number 6517027424
Plan sponsor’s address 8650 HUDSON BLVD. SUITE 200, LAKE ELMO, MN, 55042

Plan administrator’s name and address
Administrator’s EIN 411890436
Plan administrator’s name HIGH POINTE SURGERY CENTER
Plan administrator’s address 8650 HUDSON BLVD. SUITE 200, LAKE ELMO, MN, 55042
Administrator’s telephone number 6517027424

Signature of
Role Plan administrator
Date 2011-08-17
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-17
Name of individual signing TRACI ALBERS
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
East Metro ASC,LLC Aplicant 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042 – 5504

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: High Pointe Surgery Center) 2022-11-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 08 Dec 2024

Sources: Minnesota's Official State Website

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