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  5. Minneapolis Otolaryngology, P.A.

Minneapolis Otolaryngology, P.A.

Company Details

Name: Minneapolis Otolaryngology, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 29 Jun 1962 (63 years ago)
Company Number: c7856f7a-a0d4-e011-a886-001ec94ffe7f
File Number: 1B-1134
Registered Office Address: 6525 France Ave S #325, Mpls, MN 55435, USA
Principal Executive Office Address: 6545 France Ave S #325, Mpls, MN 55435, USA
ZIP code: 55435
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2018 410965972 2019-09-16 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 9529204595
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 325, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing RICHARD BELIN
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2017 410965972 2018-10-10 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 9529204595
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 235, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing DONNA VAUGHN
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2016 410965972 2017-08-02 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 9529204595
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 235, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2017-08-02
Name of individual signing DONNA VAUGHN
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2015 410965972 2017-07-13 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 9529204595
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 235, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing DONNA VAUGHN
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY PA SAFE HARBOR 401(K) PLAN 2014 410965972 2016-06-30 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 9527468670
Plan sponsor’s address 6525 FRANCE AVENUE SOUTH, SUITE 325, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2013 410965972 2015-04-16 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 6126703058
Plan sponsor’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187

Signature of
Role Plan administrator
Date 2015-04-16
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-16
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2012 410965972 2014-04-28 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 6126703058
Plan sponsor’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187

Signature of
Role Plan administrator
Date 2014-04-28
Name of individual signing DR.PHILIP RAPPORT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-28
Name of individual signing DR.PHILIP RAPPORT
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2011 410965972 2013-04-22 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 6126703058
Plan sponsor’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187

Plan administrator’s name and address
Administrator’s EIN 410965972
Plan administrator’s name MINNEAPOLIS OTOLARYNGOLOGY, P.A.
Plan administrator’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187
Administrator’s telephone number 6126703058

Signature of
Role Plan administrator
Date 2013-04-22
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-22
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2010 410965972 2012-07-12 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 6126703058
Plan sponsor’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187

Plan administrator’s name and address
Administrator’s EIN 410965972
Plan administrator’s name MINNEAPOLIS OTOLARYNGOLOGY, P.A.
Plan administrator’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187
Administrator’s telephone number 6126703058

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-12
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
MINNEAPOLIS OTOLARYNGOLOGY, P.A. SAFE HARBOR 401(K) PLAN 2009 410965972 2011-06-13 MINNEAPOLIS OTOLARYNGOLOGY, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-10-01
Business code 621111
Sponsor’s telephone number 6126703058
Plan sponsor’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187

Plan administrator’s name and address
Administrator’s EIN 410965972
Plan administrator’s name MINNEAPOLIS OTOLARYNGOLOGY, P.A.
Plan administrator’s address 6525 FRANCE AVE S STE 325, EDINA, MN, 554352187
Administrator’s telephone number 6126703058

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-13
Name of individual signing THOMAS AYRE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Philip Rapport Chief Executive Officer 6545 France Ave S #325, Mpls, MN 55435, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2019-03-15
Merger Survivor - Business Corporation (Domestic) 2015-12-23
Business Corporation (Domestic) Active Status Report 1980-07-30
Registered Office and/or Agent - Business Corporation (Domestic) 1977-06-09
Business Corporation (Domestic) Business Name (Business Name: Minneapolis Otolaryngology, P.A.) 1970-05-20
Original Filing - Business Corporation (Domestic) 1962-06-29
Business Corporation (Domestic) Business Name (Business Name: Smith, Bofenkamp and Glaeser, P.A.) 1962-06-29

Related by officers

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Date of last update: 07 Jan 2025

Sources: Minnesota's Official State Website

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