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Affinity Psychological Services, P. C.

Company Details

Name: Affinity Psychological Services, P. C.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 07 Jun 2015 (10 years ago)
Company Number: f3ee27b8-380d-e511-b14d-001ec94ffe7f
File Number: 829095300029
Registered Office Address: 7401 Metro Blvd, Suite 250, Edina, MN 55439, USA
Principal Executive Office Address: 7401 Metro Blvd, Ste 250, Edina, Minnesota 55439, United States
ZIP code: 55439
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFINITY PSYCHOLOGICAL SERVICES, P.C. 401(K) PLAN 2023 474218567 2024-05-19 AFFINITY PSYCHOLOGICAL SERVICES, P.C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541600
Sponsor’s telephone number 6122685858
Plan sponsor’s address 7401 METRO BLVD, SUITE 250, EDINA, MN, 55439

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-19
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
AFFINITY PSYCHOLOGICAL SERVICES, P.C. 401(K) PLAN 2022 474218567 2023-05-27 AFFINITY PSYCHOLOGICAL SERVICES, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541600
Sponsor’s telephone number 6122685858
Plan sponsor’s address 7401 METRO BLVD, SUITE 250, EDINA, MN, 55439

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
AFFINITY PSYCHOLOGICAL SERVICES, P.C. 401(K) PLAN 2021 474218567 2022-06-01 AFFINITY PSYCHOLOGICAL SERVICES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541600
Sponsor’s telephone number 6122685858
Plan sponsor’s address 7401 METRO BLVD, SUITE 250, EDINA, MN, 55439

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Meridee Lynn Rilen Chief Executive Officer 7401 Metro Blvd, Ste 250, Edina, Minnesota 55439, United States

Agent

Name Role
Meridee Rilen Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2021-03-28
Original Filing - Business Corporation (Domestic) (Business Name: Affinity Psychological Services, P. C.)Professional Service - Psychology 2015-06-07

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website