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  5. Minnesota Craniofacial Center P.C.

Minnesota Craniofacial Center P.C.

Company Details

Name: Minnesota Craniofacial Center P.C.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 08 Nov 2012 (12 years ago)
Company Number: e5b91432-fd29-e211-bc43-001ec94ffe7f
File Number: 626653100028
Registered Office Address: 2550 University Ave W #N143, St Paul, MN 55114, USA
Principal Executive Office Address: 2550 University Ave West, Suite 143N, St. Paul, MN 55114, USA
ZIP code: 55114
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINNESOTA CRANIOFACIAL CENTER, P.C. 401(K) PROFIT SHARING PLAN & TRUST 2023 461356143 2024-10-15 MINNESOTA CRANIOFACIAL CENTER, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W., STE 143N, ST. PAUL, MN, 55114
MINNESOTA CRANIOFACIAL CENTER, P.C. 401(K) PROFIT SHARING PLAN & TRUST 2022 461356143 2023-10-16 MINNESOTA CRANIOFACIAL CENTER, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W., STE 143N, ST. PAUL, MN, 55114
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2021 461356143 2022-10-12 MINNESOTA CRANIOFACIAL CENTER, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2020 461356143 2021-04-12 MINNESOTA CRANIOFACIAL CENTER, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2021-04-12
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2019 461356143 2020-07-10 MINNESOTA CRANIOFACIAL CENTER, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2020-07-10
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2018 461356143 2019-03-01 MINNESOTA CRANIOFACIAL CENTER, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2019-03-01
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2017 461356143 2018-01-31 MINNESOTA CRANIOFACIAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2016 461356143 2017-02-25 MINNESOTA CRANIOFACIAL CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2017-02-25
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2015 461356143 2016-03-09 MINNESOTA CRANIOFACIAL CENTER, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2016-03-09
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature
MINNESOTA CRANIOFACIAL CENTER, P.C. 401K PROFIT SHARING PLAN & TRUST 2014 461356143 2015-03-16 MINNESOTA CRANIOFACIAL CENTER, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6516421013
Plan sponsor’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114

Plan administrator’s name and address
Administrator’s EIN 461356143
Plan administrator’s name MINNESOTA CRANIOFACIAL CENTER, P.C.
Plan administrator’s address 2550 UNIVERSITY AVE W STE 143N, ST PAUL, MN, 55114
Administrator’s telephone number 6516421013

Signature of
Role Plan administrator
Date 2015-03-16
Name of individual signing KIM LEDERMANN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kim Marie Ledermann Chief Executive Officer STE 143N, 2550 UNIVERSITY AVE W, SAINT PAUL, MN 55114–1098, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2019-07-16
Administrative Dissolution - Business Corporation (Domestic) 2019-03-15
Amendment - Business Corporation (Domestic) 2013-09-20
Original Filing - Business Corporation (Domestic) (Business Name: Minnesota Craniofacial Center P.C.)Professional Service - Dentistry & Dental Hygiene 2012-11-08

Related by officers

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Related by address

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Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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