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  5. Occupational Medical Solutions, LLC

Occupational Medical Solutions, LLC

Company Details

Name: Occupational Medical Solutions, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 28 Dec 2012 (12 years ago)
Company Number: c2d4cff2-3051-e211-bc43-001ec94ffe7f
File Number: 635902500021
Registered Office Address: 1055 East Wayzata Boulevard, Suite 320, Wayzata, MN 55391, USA
Principal Executive Office Address: 420 SUMMIT AVE, SAINT PAUL, MN 55102–2624, USA
ZIP code: 55391
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OCCUPATIONAL MEDICAL SOLUTIONS, LLC 401(K) AND PROFIT SHARING PLAN 2023 383884035 2024-10-08 OCCUPATIONAL MEDICAL SOLUTIONS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 9702613544
Plan sponsor’s address 420 SUMMIT AVENUE, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing TYLER BRICKLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-08
Name of individual signing TYLER BRICKLE
Valid signature Filed with authorized/valid electronic signature
OCCUPATIONAL MEDICAL SOLUTIONS, LLC 401(K) AND PROFIT SHARING PLAN 2022 383884035 2023-09-15 OCCUPATIONAL MEDICAL SOLUTIONS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 9702613544
Plan sponsor’s address 420 SUMMIT AVENUE, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-14
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
OCCUPATIONAL MEDICAL SOLUTIONS, LLC 401(K) AND PROFIT SHARING PLAN 2021 383884035 2022-09-20 OCCUPATIONAL MEDICAL SOLUTIONS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 9702613544
Plan sponsor’s address 420 SUMMIT AVENUE, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2022-09-20
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-20
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
OCCUPATIONAL MEDICAL SOLUTIONS, LLC 401(K) AND PROFIT SHARING PLAN 2020 383884035 2021-10-05 OCCUPATIONAL MEDICAL SOLUTIONS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 9702613544
Plan sponsor’s address 420 SUMMIT AVENUE, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
OCCUPATIONAL MEDICAL SOLUTIONS, LLC 401(K) AND PROFIT SHARING PLAN 2019 383884035 2020-09-30 OCCUPATIONAL MEDICAL SOLUTIONS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 9702613544
Plan sponsor’s address 420 SUMMIT AVENUE, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2020-09-29
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-29
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
OCCUPATIONAL MEDICAL SOLUTIONS, LLC 401(K) AND PROFIT SHARING PLAN 2018 383884035 2019-10-04 OCCUPATIONAL MEDICAL SOLUTIONS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 9702613544
Plan sponsor’s address 420 SUMMIT AVENUE, ST. PAUL, MN, 55102

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-04
Name of individual signing JALANE MOSLEY
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Jalane Mosley Manager 420 SUMMIT AVE, SAINT PAUL, MN 55102–2624, USA

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2023-07-12
Administrative Termination - Limited Liability Company (Domestic) 2022-01-31
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Occupational Medical Solutions, LLC) 2012-12-28

Related by officers

No related officers

Related by address

420 SUMMIT AVE, SAINT PAUL, MN 55102–2624, USA

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Date of last update: 24 Dec 2024

Sources: Minnesota's Official State Website

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