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Lake Region Eye Center Inc.

Company Details

Name: Lake Region Eye Center Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 24 Feb 1988 (37 years ago)
Company Number: f3034524-a7d4-e011-a886-001ec94ffe7f
File Number: 5V-796
Registered Office Address: 610 30th Ave W #200, Alexandria, MN 56308, USA
Principal Executive Office Address: 610 30th Ave W #200, Alexandria, MN 56308–3426, USA
ZIP code: 56308
County: Douglas County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE REGION EYE CENTER 401K PS PLAN 2019 411608341 2020-06-02 LAKE REGION EYE CENTER, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2020-06-02
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2018 411608341 2019-04-10 LAKE REGION EYE CENTER, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2019-04-10
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2017 411608341 2018-06-21 LAKE REGION EYE CENTER, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2018-06-21
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2016 411608341 2017-05-22 LAKE REGION EYE CENTER, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2017-05-22
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2015 411608341 2016-07-21 LAKE REGION EYE CENTER, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2014 411608341 2015-07-20 LAKE REGION EYE CENTER, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2013 411608341 2014-07-17 LAKE REGION EYE CENTER, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2014-07-17
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2012 411608341 2013-07-31 LAKE REGION EYE CENTER, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2013-07-31
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2011 411608341 2012-09-12 LAKE REGION EYE CENTER, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2012-09-12
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature
LAKE REGION EYE CENTER 401K PS PLAN 2010 411608341 2011-10-13 LAKE REGION EYE CENTER, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 3207637055
Plan sponsor’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426

Plan administrator’s name and address

Administrator’s EIN 411608341
Plan administrator’s name LAKE REGION EYE CENTER, INC
Plan administrator’s address 610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
Administrator’s telephone number 3207637055

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing DAVID SCHNEIDERHAN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
David Schneiderhan Chief Executive Officer 610 30th Ave W #200, Alexandria, MN 56308–3426, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1997-04-17
Business Corporation (Domestic) Business Name (Business Name: Lake Region Eye Center Inc.) 1997-04-17
Business Corporation (Domestic) Other 1993-03-24
Administrative Dissolution - Business Corporation (Domestic) 1992-12-31
Business Corporation (Domestic) Business Name (Business Name: Hastings Optical Company, Inc.) 1988-05-27
Original Filing - Business Corporation (Domestic) 1988-02-24
Business Corporation (Domestic) Business Name (Business Name: Schneiderhan Interests, Inc.) 1988-02-24

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website