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Exceleron Medical, Inc.

Company Details

Name: Exceleron Medical, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 22 Feb 2007 (18 years ago)
Company Number: e3b9573a-8fd4-e011-a886-001ec94ffe7f
File Number: 2238639-2
Registered Office Address: 6 Apple Orchard Ct, Dellwood, MN 55110, USA
ZIP code: 55110
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXCELERON MEDICAL, INC. 401(K) PLAN 2023 320195564 2024-09-26 EXCELERON MEDICAL, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 339110
Sponsor’s telephone number 6512332071
Plan sponsor’s address 5000 TOWNSHIP PARKWAY, WHITE BEAR LAKE, MN, 55110

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing AMY KOEGEL
Valid signature Filed with authorized/valid electronic signature
EXCELERON MEDICAL, INC. 401(K) PLAN 2022 320195564 2023-10-09 EXCELERON MEDICAL, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 339110
Sponsor’s telephone number 6512332071
Plan sponsor’s address 5000 TOWNSHIP PARKWAY, WHITE BEAR LAKE, MN, 55110

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing AMY KOEGEL
Valid signature Filed with authorized/valid electronic signature
EXCELERON MEDICAL, INC. 401(K) PLAN 2021 320195564 2022-10-13 EXCELERON MEDICAL, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 339110
Sponsor’s telephone number 6512332071
Plan sponsor’s address 5000 TOWNSHIP PARKWAY, WHITE BEAR LAKE, MN, 55110

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing AMY KOEGEL
Valid signature Filed with authorized/valid electronic signature
EXCELERON MEDICAL, INC. 401(K) PLAN 2020 320195564 2021-10-13 EXCELERON MEDICAL, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 339110
Sponsor’s telephone number 6512332071
Plan sponsor’s address 5000 TOWNSHIP PARKWAY, WHITE BEAR LAKE, MN, 55110

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing AMY KOEGEL
Valid signature Filed with authorized/valid electronic signature
EXCELERON MEDICAL, INC. 401(K) PLAN 2019 320195564 2020-10-14 EXCELERON MEDICAL, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 339110
Sponsor’s telephone number 6512332071
Plan sponsor’s address 5000 TOWNSHIP PARKWAY, WHITE BEAR LAKE, MN, 55110

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing AMY KOEGEL
Valid signature Filed with authorized/valid electronic signature
EXCELERON MEDICAL, INC. 401(K) PLAN 2018 320195564 2019-10-10 EXCELERON MEDICAL, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 339110
Sponsor’s telephone number 6512332071
Plan sponsor’s address 5000 TOWNSHIP PARKWAY, WHITE BEAR LAKE, MN, 55110

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing AMY KOEGEL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Keith Roberts Chief Executive Officer 6 Apple Orchard Ct, Dellwood, MN 55110, USA

Agent

Name Role
Keith A Roberts Agent

Filing

Filing Name Filing date
Conversion Filing to Other Jurisdiction - Business Corporation (Domestic) 2022-06-10
Registered Office and/or Agent - Business Corporation (Domestic) 2009-12-31
Annual Reinstatement - Business Corporation (Domestic) 2009-06-17
Administrative Dissolution - Business Corporation (Domestic) 2009-01-07
Original Filing - Business Corporation (Domestic) 2007-02-22
Business Corporation (Domestic) Business Name (Business Name: Exceleron Medical, Inc.) 2007-02-22

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website