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Northwoods Surgery Center, LLC

Company Details

Name: Northwoods Surgery Center, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 04 Apr 2013 (12 years ago)
Company Number: e931f727-3b9d-e211-82ac-001ec94ffe7f
File Number: 665317600029
Registered Office Address: 502 N 6th Ave W, Virginia, MN 55792, USA
Principal Executive Office Address: 502 N 6th Ave W, Virginia, MN 55792, United States
ZIP code: 55792
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWOODS SURGERY CENTER 401(K) PLAN 2023 462454295 2024-10-10 NORTHWOODS SURGERY CENTER, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2184711220
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2022 462454295 2023-10-11 NORTHWOODS SURGERY CENTER, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2184711220
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2021 462454295 2022-10-06 NORTHWOODS SURGERY CENTER, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2184711220
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-06
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2020 462454295 2021-10-04 NORTHWOODS SURGERY CENTER, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2183636680
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2019 462454295 2020-09-29 NORTHWOODS SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2183636680
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2020-09-29
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-29
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2018 462454295 2019-10-11 NORTHWOODS SURGERY CENTER, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2183626680
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2017 462454295 2018-07-17 NORTHWOODS SURGERY CENTER, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2183626680
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing DAVID HOHL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2016 462454295 2017-07-07 NORTHWOODS SURGERY CENTER, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2183626680
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2017-07-07
Name of individual signing DAVID HOHL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-07
Name of individual signing DAVID HOHL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2015 462454295 2016-07-22 NORTHWOODS SURGERY CENTER, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2183626680
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing DAVID HOHL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing DAVID HOHL
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS SURGERY CENTER 401(K) PLAN 2014 462454295 2015-07-17 NORTHWOODS SURGERY CENTER, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621498
Sponsor’s telephone number 2183626680
Plan sponsor’s address 502 NORTH 6TH AVENUE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2015-07-17
Name of individual signing DAVID HOHL
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Bridget A Sundell Manager 502 North 6th Ave. West, Virginia, MN 55792, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2016-07-19
Original Filing - Limited Liability Company (Domestic) (Business Name: Northwoods Surgery Center, LLC) 2013-04-04

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website