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  5. South Metropolitan Anesthesia, P.A.

South Metropolitan Anesthesia, P.A.

Company Details

Name: South Metropolitan Anesthesia, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 10 Oct 2000 (24 years ago)
Company Number: bacebfa3-a9d4-e011-a886-001ec94ffe7f
File Number: 11J-54
Registered Office Address: 8990 Springbrook Drv NW #250, Coon Rapids, MN 55433, USA
Principal Executive Office Address: 400 10TH ST E, WACONIA, MN 55387–4552, USA
ZIP code: 55433
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH METROPOLITAN ANESTHESIA, P.A. 2023 411985915 2024-05-22 SOUTH METROPOLITAN ANESTHESIA, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address 12454 MAGNOLIA ST. NW, COON RAPIDS, MN, 55448
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 24
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2024-05-22
Name of individual signing RORY KORTAN
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2022 411985915 2023-06-05 SOUTH METROPOLITAN ANESTHESIA, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address 12454 MAGNOLIA ST. NW, COON RAPIDS, MN, 55448
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing RORY KORTAN
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2021 411985915 2022-07-15 SOUTH METROPOLITAN ANESTHESIA, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address 12454 MAGNOLIA ST. NW, COON RAPIDS, MN, 55448
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 22
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing RORY KORTAN
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2020 411985915 2021-07-27 SOUTH METROPOLITAN ANESTHESIA, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address 12454 MAGNOLIA ST. NW, COON RAPIDS, MN, 55448
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 27
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing RORY KORTAN
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2019 411985915 2020-07-21 SOUTH METROPOLITAN ANESTHESIA, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address PO BOX 100, BECKER, MN, 553080100
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 22
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing ANGIE BRENNY
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2018 411985915 2019-07-18 SOUTH METROPOLITAN ANESTHESIA, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address PO BOX 100, BECKER, MN, 553080100
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 24
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing ANGIE BRENNY
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2017 411985915 2018-08-14 SOUTH METROPOLITAN ANESTHESIA, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address PO BOX 100, BECKER, MN, 553080100
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-08-14
Name of individual signing ANGIE BRENNY
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2016 411985915 2017-08-22 SOUTH METROPOLITAN ANESTHESIA, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address PO BOX 100, BECKER, MN, 553080100
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 19
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 21
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-08-22
Name of individual signing SARAH KOLBINGER
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2015 411985915 2016-09-27 SOUTH METROPOLITAN ANESTHESIA, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7632608808
Plan sponsor’s mailing address PO BOX 100, BECKER, MN, 553080100
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 553080100

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 21
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing SARAH KOLBINGER
Valid signature Filed with authorized/valid electronic signature
SOUTH METROPOLITAN ANESTHESIA, P.A. 2014 411985915 2015-10-14 SOUTH METROPOLITAN ANESTHESIA, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s mailing address PO BOX 100, BECKER, MN, 55318
Plan sponsor’s address 14054 BANK ST, BECKER, MN, 55318

Number of participants as of the end of the plan year
Active participants 19
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 20
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing SARAH KOLBINGER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Rory Kortan Chief Executive Officer 12454 MAGNOLIA ST NW, COON RAPIDS, MN 55448–2111, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2017-04-26
Administrative Dissolution - Business Corporation (Domestic) 2017-02-27
Registered Office and/or Agent - Business Corporation (Domestic) 2003-01-29
Original Filing - Business Corporation (Domestic)Professional Service - Registered Nursing 2000-10-10
Business Corporation (Domestic) Business Name (Business Name: South Metropolitan Anesthesia, P.A.) 2000-10-10

Related by officers

No related officers

Related by address

8990 Springbrook Drv NW #250, Coon Rapids, MN 55433, USA

MINNESOTA MEDICAL MANAGEMENT, LLC

400 10TH ST E, WACONIA, MN 55387–4552, USA

Broadston Consulting Services, Inc.

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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