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  5. Southdale Otolaryngology P.A.

Southdale Otolaryngology P.A.

Company Details

Name: Southdale Otolaryngology P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 23 Sep 1969 (55 years ago)
Company Number: de8e8ad1-a7d4-e011-a886-001ec94ffe7f
File Number: 1T-181
Registered Office Address: 7373 France Ave S 302 Centennial Lks Ctr, Edina, MN 55435, USA
Principal Executive Office Address: 7373 France Ave S #302, 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
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2016 410955867 2019-05-15 SOUTHDALE OTOLARYNGOLOGY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVENUE SOUTH, SUITE 302, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing ROBERT SILVER
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2015 410955867 2016-10-12 SOUTHDALE OTOLARYNGOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVENUE SOUTH, SUITE 302, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing ROBERT SILVER
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2014 410955867 2015-09-18 SOUTHDALE OTOLARYNGOLOGY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538

Signature of
Role Plan administrator
Date 2015-09-18
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-18
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2013 410955867 2014-05-28 SOUTHDALE OTOLARYNGOLOGY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538

Signature of
Role Plan administrator
Date 2014-05-28
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-28
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2012 410955867 2013-08-13 SOUTHDALE OTOLARYNGOLOGY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538

Signature of
Role Plan administrator
Date 2013-08-13
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-13
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2011 410955867 2012-06-11 SOUTHDALE OTOLARYNGOLOGY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538

Plan administrator’s name and address
Administrator’s EIN 410955867
Plan administrator’s name SOUTHDALE OTOLARYNGOLOGY, P.A.
Plan administrator’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538
Administrator’s telephone number 9528963166

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-11
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2010 410955867 2011-10-11 SOUTHDALE OTOLARYNGOLOGY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538

Plan administrator’s name and address
Administrator’s EIN 410955867
Plan administrator’s name SOUTHDALE OTOLARYNGOLOGY, P.A.
Plan administrator’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538
Administrator’s telephone number 9528963166

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
SOUTHDALE OTOLARYNGOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2009 410955867 2010-09-27 SOUTHDALE OTOLARYNGOLOGY, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-07-01
Business code 621111
Sponsor’s telephone number 9528963166
Plan sponsor’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538

Plan administrator’s name and address
Administrator’s EIN 410955867
Plan administrator’s name SOUTHDALE OTOLARYNGOLOGY, P.A.
Plan administrator’s address 7373 FRANCE AVE S STE 302, EDINA, MN, 554354538
Administrator’s telephone number 9528963166

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing LISA POSEY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Robert Silver Chief Executive Officer 7373 France Ave S #302, Edina, MN 55435, USA

Filing

Filing Name Filing date
Merger Non Survivor - Business Corporation (Domestic) 2015-12-23
Registered Office and/or Agent - Business Corporation (Domestic) 1990-07-10
Business Corporation (Domestic) Active Status Report 1981-10-07
Original Filing - Business Corporation (Domestic) 1969-09-23
Business Corporation (Domestic) Business Name (Business Name: Southdale Otolaryngology P.A.) 1969-09-23

Related by officers

Robert Silver

Cross River Lumber Company Schwartz/Silver Architects, Inc.

Related by address

No related companies by address

Date of last update: 04 Dec 2024

Sources: Minnesota's Official State Website

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