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R. C. Shefland Anesthesia, Ltd.

Company Details

Name: R. C. Shefland Anesthesia, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Sep 1981 (43 years ago)
Company Number: c6d2aeee-99d4-e011-a886-001ec94ffe7f
File Number: 3Z-103
Registered Office Address: 27040 Co Rd 9, Bemidji, MN 56601–9005, USA
Principal Executive Office Address: 2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN 56649–8780, USA
ZIP code: 56601
County: Beltrami County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2021 411412109 2022-10-03 R. C. SHEFLAND ANESTHESIA, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 9527976021
Plan sponsor’s address 2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649

Signature of

Role Plan administrator
Date 2022-10-03
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-03
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2021 411412109 2022-06-30 R. C. SHEFLAND ANESTHESIA, LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 9527976021
Plan sponsor’s address 2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-30
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2020 411412109 2021-07-26 R. C. SHEFLAND ANESTHESIA, LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 9527976021
Plan sponsor’s address 2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649

Signature of

Role Plan administrator
Date 2021-07-26
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-26
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2019 411412109 2020-10-12 R. C. SHEFLAND ANESTHESIA, LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 9527976021
Plan sponsor’s address 2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN, 56649

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2018 411412109 2019-09-10 R. C. SHEFLAND ANESTHESIA, LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2187516405
Plan sponsor’s address 27040 COUNTY RD 9, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2019-09-10
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-10
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2017 411412109 2018-07-30 R. C. SHEFLAND ANESTHESIA, LTD 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2187516405
Plan sponsor’s address 27040 COUNTY RD 9, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2016 411412109 2017-07-24 R. C. SHEFLAND ANESTHESIA, LTD 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2187516405
Plan sponsor’s address 27040 COUNTY RD 9, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2017-07-24
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2015 411412109 2016-07-18 R. C. SHEFLAND ANESTHESIA, LTD 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2187516405
Plan sponsor’s address 27040 COUNTY RD 9, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2016-07-18
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-18
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2014 411412109 2015-07-15 R. C. SHEFLAND ANESTHESIA, LTD 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2187516405
Plan sponsor’s address 27040 COUNTY RD 9, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
R. C. SHEFLAND ANESTHESIA 401(K) PLAN 2013 411412109 2014-07-25 R. C. SHEFLAND ANESTHESIA, LTD 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2187516405
Plan sponsor’s address 27040 COUNTY RD 9, BEMIDJI, MN, 56601

Signature of

Role Plan administrator
Date 2014-07-25
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-25
Name of individual signing COURTNEY SCHAEFER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Ray Shefland Chief Executive Officer 2931 TOWN ROAD 275, INTERNATIONAL FALLS, MN 56649–8780, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1982-10-12
Original Filing - Business Corporation (Domestic) 1981-09-30
Business Corporation (Domestic) Business Name (Business Name: R. C. Shefland Anesthesia, Ltd.) 1981-09-30

Date of last update: 08 Dec 2024

Sources: Minnesota's Official State Website