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Team Health Care Clinic P.C.

Company Details

Name: Team Health Care Clinic P.C.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 29 May 1998 (27 years ago)
Company Number: df2ed71d-b3d4-e011-a886-001ec94ffe7f
File Number: 10E-169
Registered Office Address: 12217 Champlin Drv, Champlin, MN 55316, USA
Principal Executive Office Address: 12217 Champlin Drive, Champlin, MN 55316, USA
ZIP code: 55316
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2023 411909135 2024-08-21 TEAM HEALTH CARE CLINIC, P.C 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2024-08-21
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2022 411909135 2023-07-26 TEAM HEALTH CARE CLINIC, P.C 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2023-07-26
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2021 411909135 2022-06-30 TEAM HEALTH CARE CLINIC, P.C 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2020 411909135 2021-07-09 TEAM HEALTH CARE CLINIC, P.C 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2019 411909135 2021-08-12 TEAM HEALTH CARE CLINIC, P.C 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2021-08-12
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2018 411909135 2019-09-26 TEAM HEALTH CARE CLINIC, P.C 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2019-09-26
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2017 411909135 2018-06-18 TEAM HEALTH CARE CLINIC, P.C 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2018-06-18
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature
TEAM HEALTH CARE CLINIC, P.C 401K PLAN 2016 411909135 2017-10-23 TEAM HEALTH CARE CLINIC, P.C 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7633231492
Plan sponsor’s address 12217 CHAMPLIN DRIVE, CHAMPLIN, MN, 55316

Signature of

Role Plan administrator
Date 2017-10-23
Name of individual signing THERESE BERTSCH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jay Bertsch Chief Executive Officer 12217 Champlin Drive, Champlin, MN 55316, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2021-02-18
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Amendment - Business Corporation (Domestic) 2016-03-04
Business Corporation (Domestic) Business Name (Business Name: Team Health Care Clinic P.C.) 2001-03-21
Merger - Business Corporation (Domestic) 2001-01-02
Registered Office and/or Agent - Business Corporation (Domestic) 2000-01-12
Original Filing - Business Corporation (Domestic) 1998-05-29
Business Corporation (Domestic) Business Name (Business Name: Team Care of Minnesota, P.C.) 1998-05-29

Date of last update: 01 Dec 2024

Sources: Minnesota's Official State Website