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  5. Hartberg Medical Clinic, P.A.

Hartberg Medical Clinic, P.A.

Company Details

Name: Hartberg Medical Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 27 Feb 1964 (61 years ago)
Company Number: d1051bdf-afd4-e011-a886-001ec94ffe7f
File Number: 1F-182
Registered Office Address: Hwys 60 & 71 Windom Area Medical Bldg, Windom, MN 56101, USA
Principal Executive Office Address: 2170 Hospital Drv, PO Box 249, Windom, MN 56101, USA
ZIP code: 56101
County: Cottonwood County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARTBERG MEDICAL CLINIC, P. A. 2020 410875175 2021-12-28 HARTBERG MEDICAL CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2021-12-28
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-12-28
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2020 410875175 2021-04-19 HARTBERG MEDICAL CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2021-04-17
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-17
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2019 410875175 2020-11-09 HARTBERG MEDICAL CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2020-11-06
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-11-06
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2018 410875175 2019-11-12 HARTBERG MEDICAL CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2019-11-12
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-11-12
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2017 410875175 2018-09-25 HARTBERG MEDICAL CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-25
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2016 410875175 2017-10-23 HARTBERG MEDICAL CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2017-10-22
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-22
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2015 410875175 2016-08-24 HARTBERG MEDICAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2016-08-24
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-24
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2014 410875175 2015-09-17 HARTBERG MEDICAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-16
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2013 410875175 2014-11-03 HARTBERG MEDICAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2014-11-03
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-11-03
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
HARTBERG MEDICAL CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2012 410875175 2013-09-20 HARTBERG MEDICAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-03-01
Business code 621111
Sponsor’s telephone number 5078311422
Plan sponsor’s address P.O. BOX 249, WINDOM, MN, 56101

Signature of
Role Plan administrator
Date 2013-09-20
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-20
Name of individual signing K. D. HARTBERG
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Steven P Hartberg Chief Executive Officer 2170 Hospital Drv, PO Box 249, Windom, MN 56101, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2022-06-14
Intent to Dissolve - Business Corporation (Domestic) 2022-06-14
Annual Reinstatement - Business Corporation (Domestic) 2014-04-30
Administrative Dissolution Name Hold Release - Business Corporation (Domestic) 2014-02-26
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Business Corporation (Domestic) Business Name (Business Name: Hartberg Medical Clinic, P.A.) 1998-12-14
Registered Office and/or Agent - Business Corporation (Domestic) 1990-08-03
Business Corporation (Domestic) Business Name (Business Name: Basinger Medical Clinic, P.A) 1985-09-30
Original Filing - Business Corporation (Domestic) 1964-02-27
Business Corporation (Domestic) Business Name (Business Name: Drs. Basinger, Basinger & Hegstad, P.A.) 1964-02-27

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Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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