| Name: | Kelley Animal Hospital, PLLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 02 Jan 2009 (16 years ago) |
| Company Number: | afeb0af6-92d4-e011-a886-001ec94ffe7f |
| File Number: | 3151401-3 |
| Registered Office Address: | 4140 Woodland Rd, Lexington, MN 55014, USA |
| Principal Executive Office Address: | 4140 WOODLAND RD, CIRCLE PINES, MN 55014–3533, USA |
| ZIP code: | 55014 |
| County: | Anoka County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KELLEY ANIMAL HOSPITAL, PLLC 401(K) PROFIT SHARING PLAN AND TRUST | 2011 | 263959737 | 2012-12-07 | KELLEY ANIMAL HOSPITAL, PLLC | 11 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 263959737 |
| Plan administrator’s name | KELLEY ANIMAL HOSPITAL, PLLC |
| Plan administrator’s address | 4140 WOODLAND ROAD, CIRCLE PINES, MN, 55014 |
| Administrator’s telephone number | 7637852524 |
Signature of
| Role | Plan administrator |
| Date | 2012-12-07 |
| Name of individual signing | ADAM HURLBUT |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-12-07 |
| Name of individual signing | ADAM HURLBUT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 7637852524 |
| Plan sponsor’s address | 4140 WOODLAND ROAD, CIRCLE PINES, MN, 55014 |
Plan administrator’s name and address
| Administrator’s EIN | 263959737 |
| Plan administrator’s name | KELLEY ANIMAL HOSPITAL, PLLC |
| Plan administrator’s address | 4140 WOODLAND ROAD, CIRCLE PINES, MN, 55014 |
| Administrator’s telephone number | 7637852524 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-17 |
| Name of individual signing | ADAM HURLBUT |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-17 |
| Name of individual signing | ADAM HURLBUT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 541940 |
| Sponsor’s telephone number | 7637852524 |
| Plan sponsor’s address | 4140 WOODLAND RD, CIRCLE PINES, MN, 55014 |
Plan administrator’s name and address
| Administrator’s EIN | 263959737 |
| Plan administrator’s name | KELLEY ANIMAL HOSPITAL PLLC |
| Plan administrator’s address | 4140 WOODLAND RD, CIRCLE PINES, MN, 55014 |
| Administrator’s telephone number | 7637852524 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-16 |
| Name of individual signing | KELLEY ANIMAL HOSPITAL PLLC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Adam Hurlbut | Manager | 4140 WOODLAND RD, CIRCLE PINES, MN 55014–3533, USA |
| Filing Name | Filing date |
|---|---|
| Annual Reinstatement - Limited Liability Company (Domestic) | 2020-04-06 |
| Administrative Termination - Limited Liability Company (Domestic) | 2020-02-21 |
| Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) | 2018-01-01 |
| Original Filing - Limited Liability Company (Domestic) | 2009-01-02 |
| Limited Liability Company (Domestic) Business Name (Business Name: Kelley Animal Hospital, PLLC) | 2009-01-02 |
Date of last update: 26 Sep 2024
Sources: Minnesota's Official State Website
