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  5. NorthStar Surgical, Inc.

NorthStar Surgical, Inc.

Company Details

Name: NorthStar Surgical, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 07 Aug 2001 (23 years ago)
Company Number: c559808e-b2d4-e011-a886-001ec94ffe7f
File Number: 11T-644
Registered Office Address: 4978 Lincoln Drive, Edina, MN 55436, USA
ZIP code: 55436
County: Hennepin County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LND1AUJ7P1H7 2024-02-10 4978 LINCOLN DR, MINNEAPOLIS, MN, 55436, 1071, USA 4978 LINCOLN DRIVE, EDINA, MN, 55436, 1071, USA

Business Information
Congressional District 03
State/Country of Incorporation MN, USA
Activation Date 2023-02-14
Initial Registration Date 2008-07-31
Entity Start Date 2001-09-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 423450
Product and Service Codes Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name RICK ZAK
Address 4978 LINCOLN DRIVE, EDINA, MN, 55436, USA
Title ALTERNATE POC
Name JOHN ZAK
Address 4978 LINCOLN DRIVE, EDINA, MN, 55434, USA
Government Business
Title PRIMARY POC
Name RICK ZAK
Address 4978 LINCOLN DRIVE, EDINA, MN, 55436, USA
Title ALTERNATE POC
Name OWEN HENRY
Address 4978 LINCOLN DRIVE, EDINA, MN, 55436, USA
Past Performance
Title PRIMARY POC
Name OWEN HENRY
Address 4978 LINCOLN DRIVE, EDINA, MN, 55436, USA
Title ALTERNATE POC
Name OWEN HENRY
Address 4978 LINCOLN DRIVE, EDINA, MN, 55436, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2022 412014539 2023-09-06 NORTHSTAR SURGICAL, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2021 412014539 2022-10-13 NORTHSTAR SURGICAL, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2020 412014539 2021-09-15 NORTHSTAR SURGICAL, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2019 412014539 2020-08-13 NORTHSTAR SURGICAL, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2020-08-13
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2018 412014539 2019-05-31 NORTHSTAR SURGICAL, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2019-05-31
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2017 412014539 2018-06-20 NORTHSTAR SURGICAL, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2016 412014539 2017-06-14 NORTHSTAR SURGICAL, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2015 412014539 2016-07-21 NORTHSTAR SURGICAL, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2014 412014539 2015-07-21 NORTHSTAR SURGICAL, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR SURGICAL, INC. 401(K) P/S PLAN 2013 412014539 2014-07-06 NORTHSTAR SURGICAL, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 9529281490
Plan sponsor’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 412014539
Plan administrator’s name NORTHSTAR SURGICAL, INC
Plan administrator’s address 4978 LINCOLN DRIVE, EDINA, MN, 55436
Administrator’s telephone number 9529281490

Signature of
Role Plan administrator
Date 2014-07-06
Name of individual signing NATHAN HOMMERDING
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
John Zak Chief Executive Officer 4978 Lincoln Drive, Edina, MN 55436, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2022-03-18
Administrative Dissolution - Business Corporation (Domestic) 2022-01-25
Registered Office and/or Agent - Business Corporation (Domestic) 2010-12-21
Original Filing - Business Corporation (Domestic) 2001-08-07
Business Corporation (Domestic) Business Name (Business Name: NorthStar Surgical, Inc.) 2001-08-07

Related by officers

John Zak

Northstar Surgical Land, LLC

Related by address

4978 Lincoln Drive, Edina, MN 55436, USA

Northstar Surgical Land, LLC

Date of last update: 30 Dec 2024

Sources: Minnesota's Official State Website

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