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  5. Petersen Professionals PC

Petersen Professionals PC

Company Details

Name: Petersen Professionals PC
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Nov 2010 (14 years ago)
Company Number: e5b5a0d1-96d4-e011-a886-001ec94ffe7f
File Number: 4059821-2
Registered Office Address: 4915 W 35th Str #201, St Louis Park, MN 55416, USA
Principal Executive Office Address: 4915 W 35th St Ste 201, St Louis Park, MN 55416, Hennepin
ZIP code: 55416
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2023 273968596 2024-06-07 PETERSEN PROFESSIONALS PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2024-06-07
Name of individual signing STACEY R PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2022 273968596 2023-05-23 PETERSEN PROFESSIONALS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2021 273968596 2022-08-15 PETERSEN PROFESSIONALS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2020 273968596 2021-05-21 PETERSEN PROFESSIONALS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2019 273968596 2020-06-09 PETERSEN PROFESSIONALS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2018 273968596 2019-05-15 PETERSEN PROFESSIONALS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2017 273968596 2018-03-19 PETERSEN PROFESSIONALS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2018-03-19
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2016 273968596 2017-04-21 PETERSEN PROFESSIONALS PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2017-04-21
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature
PETERSEN PROFESSIONALS PC 401(K) P/S PLAN 2015 273968596 2016-04-21 PETERSEN PROFESSIONALS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541211
Sponsor’s telephone number 9527673212
Plan sponsor’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 273968596
Plan administrator’s name PETERSEN PROFESSIONALS PC
Plan administrator’s address 4915 W 35TH ST STE 201, MINNEAPOLIS, MN, 55416
Administrator’s telephone number 9527673212

Signature of
Role Plan administrator
Date 2016-04-21
Name of individual signing STACEY PETERSEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Stacey R Petersen Chief Executive Officer 4915 W 35th St Ste 201, St Louis Park, MN 55416, Hennepin

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) (Business Name: Petersen Professionals PC) 2016-01-27
Amendment - Business Corporation (Domestic) (Business Name: Petersen Partners PC) 2015-11-20
Amendment - Business Corporation (Domestic) (Business Name: Petersen Paquin PC) 2013-11-18
Registered Office and/or Agent - Business Corporation (Domestic) 2011-01-18
Original Filing - Business Corporation (Domestic)Professional Service - Accountancy 2010-11-16
Business Corporation (Domestic) Business Name (Business Name: Petersen Petrick PC) 2010-11-16

Related by officers

No related officers

Related by address

4915 W 35th Str #201, St Louis Park, MN 55416, USA

Sela Group - Westwood, LLC

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website

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