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ASSOCIATED CLINIC OF PSYCHOLOGY, INC.

Headquarter

Company Details

Name: ASSOCIATED CLINIC OF PSYCHOLOGY, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 03 Jun 1982 (43 years ago)
Company Number: b0d4aeee-99d4-e011-a886-001ec94ffe7f
File Number: 4D-68
Registered Office Address: 4240 Park Glen Rd, Minneapolis, MN 55416, USA
Principal Executive Office Address: 4240 PARK GLEN RD, MINNEAPOLIS, MN 55416–4758, United States
ZIP code: 55416
County: Hennepin County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of ASSOCIATED CLINIC OF PSYCHOLOGY, INC., COLORADO 20228073141 COLORADO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED CLINIC OF PSYCHOLOGY 401(K) PROFIT SHARING PLAN 2011 411425197 2012-09-07 ASSOCIATED CLINIC OF PSYCHOLOGY, INC. 134
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 621330
Sponsor’s telephone number 6129256033
Plan sponsor’s mailing address 3100 WEST LAKE STREET, SUITE 210, MINNEAPOLIS, MN, 554164527
Plan sponsor’s address 3100 WEST LAKE STREET, SUITE 210, MINNEAPOLIS, MN, 554164527

Plan administrator’s name and address

Administrator’s EIN 411425197
Plan administrator’s name ASSOCIATED CLINIC OF PSYCHOLOGY, INC.
Plan administrator’s address 3100 WEST LAKE STREET, SUITE 210, MINNEAPOLIS, MN, 554164527
Administrator’s telephone number 6129256033

Number of participants as of the end of the plan year

Active participants 111
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 20
Number of participants with account balances as of the end of the plan year 131
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of

Role Plan administrator
Date 2012-09-06
Name of individual signing JOHN BROSE
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED CLINIC OF PSYCHOLOGY 401(K) PLAN 2009 411425197 2010-06-11 ASSOCIATED CLINIC OF PSYCHOLOGY, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 621330
Sponsor’s telephone number 6129256033
Plan sponsor’s address 3100 WEST LAKE STREET, SUITE 210, MINNEAPOLIS, MN, 554164527

Plan administrator’s name and address

Administrator’s EIN 411425197
Plan administrator’s name ASSOCIATED CLINIC OF PSYCHOLOGY, INC.
Plan administrator’s address 3100 WEST LAKE STREET, SUITE 210, MINNEAPOLIS, MN, 554164527
Administrator’s telephone number 6129256033

Signature of

Role Plan administrator
Date 2010-06-11
Name of individual signing JOHN BROSE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Associated Clinic of Psychology Chief Executive Officer 4240 PARK GLEN RD, MINNEAPOLIS, MN 55416–4758, USA

Filing

Filing Name Filing date
Email Address for Official Notices 2022-03-24
Amendment - Business Corporation (Domestic) 2021-03-11
Annual Reinstatement - Business Corporation (Domestic) 2021-03-09
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Registered Office and/or Agent - Business Corporation (Domestic) 1988-12-16
Original Filing - Business Corporation (Domestic) 1982-06-03
Business Corporation (Domestic) Business Name (Business Name: ASSOCIATED CLINIC OF PSYCHOLOGY, INC.) 1982-06-03

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website