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  5. Kidney Specialists of Minnesota, P.A.

Kidney Specialists of Minnesota, P.A.

Company Details

Name: Kidney Specialists of Minnesota, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Jun 1977 (48 years ago)
Company Number: cd00761d-a6d4-e011-a886-001ec94ffe7f
File Number: 2Z-990
Registered Office Address: 6200 Shingle Creek Pkwy #300, Brooklyn Center, MN 55430, USA
Principal Executive Office Address: 6200 SHINGLE CREEK PKWY # 260, BROOKLYN CENTER, MN 55430–2128, USA
ZIP code: 55430
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDNEY SPECIALISTS OF MINNESOTA, P.A. 401(K) PLAN 2018 411356741 2019-07-10 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s address 6200 SHINGLE CREEK PKWY - SUITE 260, BROOKLYN CENTER, MN, 554302168

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA, P.A. 401(K) PLAN 2017 411356741 2018-04-16 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s address 6200 SHINGLE CREEK PKWY - SUITE 260, BROOKLYN CENTER, MN, 554302168

Signature of
Role Plan administrator
Date 2018-04-16
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA, P.A. 401(K) PLAN 2016 411356741 2017-07-12 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s address 6200 SHINGLE CREEK PKWY - SUITE 260, BROOKLYN CENTER, MN, 554302168

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA. P.A. HEALTH AND WELFARE PLAN 2015 411356741 2016-07-19 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 79
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s DBA name KIDNEY SPECIALISTS OF MN
Plan sponsor’s mailing address 6200 SHINGLE CREEK PKWY # 260, BROOKLYN CENTER, MN, 554302128
Plan sponsor’s address 6200 SHINGLE CREEK PKWY # 260, BROOKLYN CENTER, MN, 554302128

Number of participants as of the end of the plan year
Active participants 69

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA, P.A. 401(K) PLAN 2015 411356741 2016-07-11 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s address 6200 SHINGLE CREEK PKWY - SUITE 260, BROOKLYN CENTER, MN, 554302168

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA, P.A. HEALTH AND WELFARE PLAN 2014 411356741 2016-07-19 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 78
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s mailing address 6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN, 55430
Plan sponsor’s address 6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN, 55430

Number of participants as of the end of the plan year
Active participants 78

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA, P.A. HEALTH AND WELFARE PLAN 2014 411356741 2015-07-29 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 78
Three-digit plan number (PN) 505
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s mailing address 6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN, 55430
Plan sponsor’s address 6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN, 55430

Number of participants as of the end of the plan year
Active participants 78

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA, P.A. 401(K) PLAN 2014 411356741 2015-07-16 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s address 6200 SHINGLE CREEK PKWY - SUITE 260, BROOKLYN CENTER, MN, 554302168

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing PATTY BUER
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA, P.A. HEALTH & WELFARE PLAN 2013 411356741 2014-06-03 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 79
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s mailing address 6200 SHINGLE CREEK PARKWAY, SUITE 300, BROOKLYN CENTER, MN, 55430
Plan sponsor’s address 6200 SHINGLE CREEK PARKWAY, SUITE 300, BROOKLYN CENTER, MN, 55430

Number of participants as of the end of the plan year
Active participants 79

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing BRENT WILDE
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF MINNESOTA 401(K) PLAN 2013 411356741 2014-06-03 KIDNEY SPECIALISTS OF MINNESOTA, P.A. 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 7635615349
Plan sponsor’s address 6200 SHINGLE CREEK PKWY - SUITE 300, BROOKLYN CENTER, MN, 554302168

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing BRENT WILDE, CEO
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Carrie El-Halawani Chief Executive Officer 6200 SHINGLE CREEK PKWY # 260, BROOKLYN CENTER, MN 55430–2128, USA

Filing

Filing Name Filing date
Email Address for Official Notices 2016-10-14
Business Corporation (Domestic) Business Name (Business Name: Kidney Specialists of Minnesota, P.A.) 2000-05-23
Business Corporation (Domestic) Business Name (Business Name: KIDNEY DISEASE AND CRITICAL CARE ASSOCIATES, P.A.) 1986-04-29
Merger - Business Corporation (Domestic) 1986-04-29
Business Corporation (Domestic) Restated Articles 1983-12-21
Business Corporation (Domestic) Business Name (Business Name: KIDNEY DISEASE AND DIALYSIS ASSOCIATES, P.A.) 1983-12-21
Business Corporation (Domestic) Business Name (Business Name: Kidney Disease and Dialysis Associates, P.A.) 1981-10-29
Business Corporation (Domestic) Active Status Report 1981-03-13
Registered Office and/or Agent - Business Corporation (Domestic) 1981-03-11
Business Corporation (Domestic) Business Name (Business Name: Nephrology and Gastroenterology Associates, P.A.) 1979-07-17

Related by officers

Carrie El-Halawani

KSM KCE L.L.C. Minnesota Kidney Collaborative LLC Dialysis Access of Minnesota, LLC CARRIE EL-HALAWANI HEALTHCARE CONSULTING, LLC

Related by address

6200 Shingle Creek Pkwy #300, Brooklyn Center, MN 55430, USA

Dialysis Acquisition II, Inc. Dialysis Acquisition, Inc. Waconia Dialysis Center Dialysis Access of Minnesota, LLC Chancellor Mortgage Corporation Lakeland Acute Dialysis, Inc. Lakeland Dialysis, Inc. Twin Cities Clinical Research South Minneapolis Dialysis Center

6200 SHINGLE CREEK PKWY # 260, BROOKLYN CENTER, MN 55430–2128, USA

KSM KCE L.L.C. Minnesota Kidney Collaborative LLC Dialysis Access of Minnesota, LLC

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website

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