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Lakewood Surgery Center

Company Details

Name: Lakewood Surgery Center
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 19 Aug 2005 (19 years ago)
Company Number: f0b0c136-8cd4-e011-a886-001ec94ffe7f
File Number: 1478357-2
Principal Place of Business Address: 1542 Golf Course Road Suite 105, Grand Rapids, MN 55744, USA
ZIP code: 55744
County: Itasca County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2023 202137172 2024-05-22 LAKEWOOD SURGERY CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2023 202137172 2024-06-10 LAKEWOOD SURGERY CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2022 202137172 2023-08-25 LAKEWOOD SURGERY CENTER 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2021 202137172 2022-06-15 LAKEWOOD SURGERY CENTER 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2020 202137172 2021-07-26 LAKEWOOD SURGERY CENTER 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2019 202137172 2020-07-27 LAKEWOOD SURGERY CENTER 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2018 202137172 2019-10-15 LAKEWOOD SURGERY CENTER 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing TIMOTHY FLANNERY
Valid signature Filed with authorized/valid electronic signature
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2017 202137172 2018-09-04 LAKEWOOD SURGERY CENTER 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2016 202137172 2017-07-14 LAKEWOOD SURGERY CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183263937
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744
LAKEWOOD SURGERY CENTER 401(K) RETIREMENT SAVINGS PLAN 2015 202137172 2016-08-17 LAKEWOOD SURGERY CENTER 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-05-01
Business code 621493
Sponsor’s telephone number 2183267286
Plan sponsor’s address 1542 GOLF COURSE ROAD, SUITE 105, GRAND RAPIDS, MN, 55744

Aplicant

Name Role Address
Horseshoe Surgery Center LLC Aplicant 1542 Golf Course Road Suite 105, Grand Rapids, MN 55744

Filing

Filing Name Filing date
Amendment - Assumed Name 2018-04-20
Annual Reinstatement - Assumed Name 2016-12-19
Expired - Assumed Name 2015-08-20
Original Filing - Assumed Name (Business Name: Lakewood Surgery Center) 2005-08-19

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website