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  5. Pavelka Reproductive Associates

Pavelka Reproductive Associates

Company Details

Name: Pavelka Reproductive Associates
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 15 Jan 1992 (33 years ago)
Company Number: cdb396cc-9bd4-e011-a886-001ec94ffe7f
File Number: 112358
Principal Place of Business Address: 500 Osborne Rd 260 Unity Prof Bldg, Fridley, MN 55432, USA
ZIP code: 55432
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAVELKA REPRODUCTIVE ASSOCIATES 401(K) PROFIT SHARING PLAN 2011 731635130 2012-11-30 PAVELKA REPRODUCTIVE ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 7637838155
Plan sponsor’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432

Plan administrator’s name and address
Administrator’s EIN 731635130
Plan administrator’s name PAVELKA REPRODUCTIVE ASSOCIATES
Plan administrator’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432
Administrator’s telephone number 7637838155

Signature of
Role Plan administrator
Date 2012-11-29
Name of individual signing DONALD PAVELKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-11-29
Name of individual signing DONALD PAVELKA
Valid signature Filed with authorized/valid electronic signature
PAVELKA REPRODUCTIVE ASSOCIATES 401(K) PROFIT SHARING PLAN 2011 731635130 2012-04-24 PAVELKA REPRODUCTIVE ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 7637838155
Plan sponsor’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432

Plan administrator’s name and address
Administrator’s EIN 731635130
Plan administrator’s name PAVELKA REPRODUCTIVE ASSOCIATES
Plan administrator’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432
Administrator’s telephone number 7637838155

Signature of
Role Plan administrator
Date 2012-04-23
Name of individual signing DONALD PAVELKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-23
Name of individual signing DONALD PAVELKA
Valid signature Filed with authorized/valid electronic signature
PAVELKA REPRODUCTIVE ASSOCIATES 401(K) PROFIT SHARING PLAN 2010 731635130 2011-06-02 PAVELKA REPRODUCTIVE ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 7637838155
Plan sponsor’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432

Plan administrator’s name and address
Administrator’s EIN 731635130
Plan administrator’s name PAVELKA REPRODUCTIVE ASSOCIATES
Plan administrator’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432
Administrator’s telephone number 7637838155

Signature of
Role Plan administrator
Date 2011-06-01
Name of individual signing DONALD A. PAVELKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-01
Name of individual signing DONALD A. PAVELKA
Valid signature Filed with authorized/valid electronic signature
PAVELKA REPRODUCTIVE ASSOCIATES 401(K) PROFIT SHARING PLAN 2009 731635130 2010-07-20 PAVELKA REPRODUCTIVE ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 7637838155
Plan sponsor’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432

Plan administrator’s name and address
Administrator’s EIN 731635130
Plan administrator’s name PAVELKA REPRODUCTIVE ASSOCIATES
Plan administrator’s address 500 OSBOURNE ROAD, SUITE 260, ST. ANTHONY, MN, 55432
Administrator’s telephone number 7637838155

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing DONALD ARTHUR PAVELKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-19
Name of individual signing DONALD ARTHUR PAVELKA
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Allina Medical Clinic Aplicant 710 E 24th Str, Mpls,

Filing

Filing Name Filing date
Cancellation - Assumed Name 2002-07-25
Assumed Name Renewal 2002-01-11
Assumed Name Nameholder 1995-07-27
Original Filing - Assumed Name 1992-01-15
Assumed Name Business Name (Business Name: Pavelka Reproductive Associates) 1992-01-15

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Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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