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New Montevideo Clinic, P.A.

Company Details

Name: New Montevideo Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 03 Dec 2004 (20 years ago)
Company Number: c92c73a2-8ad4-e011-a886-001ec94ffe7f
File Number: 1135468-2
Registered Office Address: 824 N 11th Str, Montevideo, MN 56265, USA
Principal Executive Office Address: 824 North 11th Street, Montevideo, MN 56265, USA
ZIP code: 56265
County: Chippewa County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2023 201954333 2024-03-12 NEW MONTEVIDEO CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2024-03-12
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-12
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2022 201954333 2023-02-22 NEW MONTEVIDEO CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2023-02-22
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-22
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2021 201954333 2022-08-09 NEW MONTEVIDEO CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2022-08-09
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-09
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2020 201954333 2021-02-09 NEW MONTEVIDEO CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2021-02-09
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-09
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2019 201954333 2020-03-13 NEW MONTEVIDEO CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2020-03-13
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-13
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2018 201954333 2019-02-01 NEW MONTEVIDEO CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2019-02-01
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-01
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2017 201954333 2018-02-28 NEW MONTEVIDEO CLINIC, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2018-02-25
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-25
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2016 201954333 2017-01-13 NEW MONTEVIDEO CLINIC, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2017-01-13
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-13
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2015 201954333 2016-02-08 NEW MONTEVIDEO CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2016-02-08
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-08
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
NEW MONTEVIDEO CLINIC, P.A. RETIREMENT PLAN 2014 201954333 2015-06-11 NEW MONTEVIDEO CLINIC, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3202696435
Plan sponsor’s address 824 NORTH 11TH STREET, MONTEVIDEO, MN, 56265

Signature of

Role Plan administrator
Date 2015-06-11
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-11
Name of individual signing NICHOLAS KRUEGER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Nicholas Krueger Chief Executive Officer 824 N 11th St., Montevideo, MN 56265, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2008-02-28
Original Filing - Business Corporation (Domestic) 2004-12-03
Business Corporation (Domestic) Business Name (Business Name: New Montevideo Clinic, P.A.) 2004-12-03

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website