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  5. Nurse Anesthesia Services, P.A.

Nurse Anesthesia Services, P.A.

Company Details

Name: Nurse Anesthesia Services, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 16 May 1994 (31 years ago)
Company Number: c139fbd6-b5d4-e011-a886-001ec94ffe7f
File Number: 8G-209
Registered Office Address: 216 Myrtle St W #251, PO Box 251, Stillwater, MN 55082–0251, USA
Principal Executive Office Address: 4124 Quebec Ave N #109, New Hope, MN 55427, USA
ZIP code: 55082
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NURSE ANESTHESIA SERVICES, P. A. 401(K) PROFIT SHARING PLAN 2022 411783810 2023-11-06 NURSE ANESTHESIA SERVICES, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address PO BOX 251, STILLWATER, MN, 550820251
NURSE ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2022 411783810 2023-09-06 NURSE ANESTHESIA SERVICES, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address PO BOX 251, STILLWATER, MN, 550820251
NURSE ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2021 411783810 2022-06-24 NURSE ANESTHESIA SERVICES, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address PO BOX 251, STILLWATER, MN, 550820251
NURSE ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2020 411783810 2021-06-21 NURSE ANESTHESIA SERVICES, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address 4124 QUEBEC AVENUE NORTH, SUITE 109, NEW HOPE, MN, 55427
NURSE ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2019 411783810 2020-06-12 NURSE ANESTHESIA SERVICES, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address 4124 QUEBEC AVENUE NORTH, SUITE 109, NEW HOPE, MN, 55427
NURSE ANESTHESIA SERVICES, P.A. 401(K) PROFIT SHARING PLAN 2018 411783810 2019-05-09 NURSE ANESTHESIA SERVICES, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address 199 COON RAPIDS BLVD., SUITE 113, COON RAPIDS, MN, 55433
NURSE ANESTHESIA SERVICES, P.A. 401(K) AND PROFIT SHARING PLAN 2016 411783810 2017-06-01 NURSE ANESTHESIA SERVICES, P.A. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address 199 COON RAPIDS BLVD., SUITE 113, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing SHAWN WOLK
Valid signature Filed with authorized/valid electronic signature
NURSE ANESTHESIA SERVICES, P.A. 401(K) AND PROFIT SHARING PLAN 2015 411783810 2016-05-10 NURSE ANESTHESIA SERVICES, P.A. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address 8990 SPRINGBROOK DRIVE NW,, SUITE 250, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2016-05-10
Name of individual signing STUART BENSON
Valid signature Filed with authorized/valid electronic signature
NURSE ANESTHESIA SERVICES, P.A. 401(K) AND PROFIT SHARING PLAN 2014 411783810 2015-07-06 NURSE ANESTHESIA SERVICES, P.A. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address 8990 SPRINGBROOK DRIVE NW,, SUITE 250, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing DAVID ZETHREN
Valid signature Filed with authorized/valid electronic signature
NURSE ANESTHESIA SERVICES, P.A. 401(K) AND PROFIT SHARING PLAN 2013 411783810 2014-07-30 NURSE ANESTHESIA SERVICES, P.A. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 621399
Sponsor’s telephone number 7633980099
Plan sponsor’s address 8990 SPRINGBROOK DRIVE NW,, SUITE 250, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing CAROL KOLBINGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing CAROL KOLBINGER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Shawn E Wolk Chief Executive Officer 4124 Quebec Ave N #109, New Hope, MN 55427, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2022-12-08
Intent to Dissolve - Business Corporation (Domestic) 2022-06-08
Registered Office and/or Agent - Business Corporation (Domestic) 1995-08-14
Original Filing - Business Corporation (Domestic) 1994-05-16
Business Corporation (Domestic) Business Name (Business Name: Nurse Anesthesia Services, P.A.) 1994-05-16

Related by officers

No related officers

Related by address

4124 Quebec Ave N #109, New Hope, MN 55427, USA

Keim Law Office, P.L.L.C.

Date of last update: 01 Dec 2024

Sources: Minnesota's Official State Website

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