| Name: | Bright Eyes Vision Clinic, P.A. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 27 Feb 2006 (19 years ago) |
| Company Number: | b1bdf12b-8dd4-e011-a886-001ec94ffe7f |
| File Number: | 1732358-2 |
| Registered Office Address: | 9125 Quaday Ave #104, Otsego, MN 55330, USA |
| Principal Executive Office Address: | 15704 90th Street NE, Ste 100, Otsego, MN 55330–7448, USA |
| ZIP code: | 55330 |
| County: | Sherburne County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VISION RETIREMENT PLAN | 2023 | 342061657 | 2024-07-09 | BRIGHT EYES VISION CLINIC, P.A. | 14 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-08 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-07-08 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 7632411090 |
| Plan sponsor’s address | 15704 - 90TH STREET N.E., OTSEGO, MN, 55330 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-11 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-08-11 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 7632411090 |
| Plan sponsor’s address | 15704 - 90TH STREET N.E., OTSEGO, MN, 55330 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-07 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-07 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 7632411090 |
| Plan sponsor’s address | 15704 - 90TH STREET N.E., OTSEGO, MN, 55330 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-16 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-07-16 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 7632411090 |
| Plan sponsor’s address | 15704 - 90TH STREET N.E., OTSEGO, MN, 55330 |
Signature of
| Role | Plan administrator |
| Date | 2020-05-16 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-05-16 |
| Name of individual signing | JILL SCHULTZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JILL SCHULTZ | Chief Executive Officer | 9985 URBANDALE LN N, MAPLE GROVE, MN 55331, USA |
| Name | Role |
|---|---|
| Jill Anna Kirkeide | Agent |
| Filing Name | Filing date |
|---|---|
| Original Filing - Business Corporation (Domestic) (Business Name: Bright Eyes Vision Clinic, P.A.)Professional Service - Optometry | 2006-02-27 |
Date of last update: 26 Sep 2024
Sources: Minnesota's Official State Website
