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  5. Pediatric Urology Associates, P.A.

Pediatric Urology Associates, P.A.

Company Details

Name: Pediatric Urology Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 07 Feb 2003 (22 years ago)
Company Number: d36a3fc4-b2d4-e011-a886-001ec94ffe7f
File Number: 12N-965
Registered Office Address: 14700 28th Ave N #25, Plymouth, MN 55447, USA
Principal Executive Office Address: 14700 28TH AVE N STE 25, PLYMOUTH, MN 55447–4884, USA
ZIP code: 55447
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC UROLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN 2016 020604618 2017-04-11 PEDIATRIC UROLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6122808800
Plan sponsor’s address 14700 28TH AVE N, SUITE 25, PLYMOUTH, MN, 55447
PEDIATRIC UROLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN 2015 020604618 2016-08-08 PEDIATRIC UROLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6122808800
Plan sponsor’s address 14700 28TH AVE N, SUITE 25, PLYMOUTH, MN, 55447
PEDIATRIC UROLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN 2014 020604618 2015-03-30 PEDIATRIC UROLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6122808800
Plan sponsor’s address 14700 28TH AVE N, SUITE 25, PLYMOUTH, MN, 55447

Signature of
Role Plan administrator
Date 2015-03-30
Name of individual signing ALIABADI HOSSEIN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC UROLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN 2013 020604618 2014-09-15 PEDIATRIC UROLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6122808800
Plan sponsor’s address 14700 28TH AVE N, SUITE 25, PLYMOUTH, MN, 55447

Signature of
Role Plan administrator
Date 2014-09-15
Name of individual signing JESSICA CARMONA
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC UROLOGY ASSOCIATES, P.A. DEFINED BENEFIT PENSION PLAN 2012 326081384 2013-07-12 PEDIATRIC UROLOGY ASSOCIATES, P.A. 2
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6123718824
Plan sponsor’s address 12 MARILANE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 326081384
Plan administrator’s name PEDIATRIC UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 12 MARILANE, EDINA, MN, 55436
Administrator’s telephone number 6123718824

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing HOSSEIN ALIABADI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC UROLOGY ASSOCIATES, P.A. DEFINED BENEFIT PENSION PLAN 2012 326081384 2013-07-12 PEDIATRIC UROLOGY ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6123718824
Plan sponsor’s address 12 MARILANE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 326081384
Plan administrator’s name PEDIATRIC UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 12 MARILANE, EDINA, MN, 55436
Administrator’s telephone number 6123718824

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing HOSSEIN ALIABADI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC UROLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN 2012 020604618 2013-04-22 PEDIATRIC UROLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6122808800
Plan sponsor’s address 14700 28TH AVE N, SUITE 25, PLYMOUTH, MN, 55447

Signature of
Role Plan administrator
Date 2013-04-22
Name of individual signing MIKE HAHN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC UROLOGY ASSOCIATES, P.A. DEFINED BENEFIT PENSION PLAN 2012 326081384 2013-04-15 PEDIATRIC UROLOGY ASSOCIATES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6123718824
Plan sponsor’s address 12 MARILANE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 326081384
Plan administrator’s name PEDIATRIC UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 12 MARILANE, EDINA, MN, 55436
Administrator’s telephone number 6123718824

Signature of
Role Plan administrator
Date 2013-04-15
Name of individual signing HOSSEIN ALIABADI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC UROLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN 2011 020604618 2012-10-16 PEDIATRIC UROLOGY ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6122808800
Plan sponsor’s address 14700 28TH AVE N, SUITE 25, PLYMOUTH, MN, 55447

Plan administrator’s name and address
Administrator’s EIN 020604618
Plan administrator’s name PEDIATRIC UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 14700 28TH AVE N, SUITE 25, PLYMOUTH, MN, 55447
Administrator’s telephone number 6122808800

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing MIKE HAHN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC UROLOGY ASSOCIATES, P.A. DEFINED BENEFIT PENSION PLAN 2011 326081384 2012-10-11 PEDIATRIC UROLOGY ASSOCIATES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6123718824
Plan sponsor’s address 12 MARILANE, EDINA, MN, 55436

Plan administrator’s name and address
Administrator’s EIN 326081384
Plan administrator’s name PEDIATRIC UROLOGY ASSOCIATES, P.A.
Plan administrator’s address 12 MARILANE, EDINA, MN, 55436
Administrator’s telephone number 6123718824

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing HOSSEIN ALIABADI
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Hossein Aliabadi Chief Executive Officer 14700 28TH AVE N STE 25, PLYMOUTH, MN 55447–4884, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2024-06-14
Registered Office and/or Agent - Business Corporation (Domestic) 2007-02-05
Merger - Business Corporation (Domestic) 2003-02-11
Original Filing - Business Corporation (Domestic) 2003-02-07
Business Corporation (Domestic) Business Name (Business Name: Pediatric Urology Associates, P.A.) 2003-02-07
Original Filing - Business Corporation (Domestic)Professional Service - Medicine & Surgery 2003-02-07

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No related officers

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Date of last update: 04 Jan 2025

Sources: Minnesota's Official State Website

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