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Plastic Surgery Specialists, P.A.

Company Details

Name: Plastic Surgery Specialists, P.A.
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 14 Feb 2011 (14 years ago)
Company Number: d2f3471f-97d4-e011-a886-001ec94ffe7f
File Number: 4139726-2
Principal Place of Business Address: 7373 France Ave S #510, Edina, 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
PLASTIC SURGERY SPECIALISTS, P.A. PROFIT SHARING PLAN AND TRUST 2009 411408709 2010-07-19 PLASTIC SURGERY SPECIALISTS, P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 9528300080
Plan sponsor’s address 7373 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN, 55435

Plan administrator’s name and address

Administrator’s EIN 411408709
Plan administrator’s name PLASTIC SURGERY SPECIALISTS, P.A.
Plan administrator’s address 7373 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN, 55435
Administrator’s telephone number 9528300080

Signature of

Role Plan administrator
Date 2010-07-19
Name of individual signing ALLEN VAN BEEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-19
Name of individual signing ALLEN VAN BEEK
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY SPECIALISTS, P.A. PROFIT SHARING PLAN AND TRUST 2009 411408709 2010-07-19 PLASTIC SURGERY SPECIALISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 9528300080
Plan sponsor’s address 7373 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN, 55435

Plan administrator’s name and address

Administrator’s EIN 411408709
Plan administrator’s name PLASTIC SURGERY SPECIALISTS, P.A.
Plan administrator’s address 7373 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN, 55435
Administrator’s telephone number 9528300080

Signature of

Role Plan administrator
Date 2010-07-19
Name of individual signing ALLEN VAN BEEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-19
Name of individual signing ALLEN VAN BEEK
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Associated Plastic&Reconstr PA Aplicant 7373 France Ave S #510, Edina, MN 55435

Filing

Filing Name Filing date
Administrative Expiration - Assumed Name 2023-01-27
Annual Reinstatement - Assumed Name 2021-04-12
Expired - Assumed Name 2021-02-16
Original Filing - Assumed Name (Business Name: Plastic Surgery Specialists, P.A.) 2011-02-14

Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website