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Pelvital USA, Inc.

Company Details

Name: Pelvital USA, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Foreign)
Status: Active / In Good Standing
Date formed: 15 Sep 2023 (a year ago)
Company Number: f59b3080-0254-ee11-9076-00155d01c440
File Number: 1409695300024
Registered Office Address: 860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121–1567, USA
ZIP code: 55121
County: Dakota County
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PELVITAL, INC. 401(K) PLAN 2023 812720757 2024-10-02 PELVITAL USA, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 339110
Sponsor’s telephone number 6082281866
Plan sponsor’s address 860 BLUE GENTIAN RD #200, EAGAN, MN, 55121

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing LEOTA PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-02
Name of individual signing LEOTA PEARSON
Valid signature Filed with authorized/valid electronic signature
PELVITAL, INC. 401(K) PLAN 2022 812720757 2023-07-22 PELVITAL USA, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 339110
Sponsor’s telephone number 6082281866
Plan sponsor’s address 860 BLUE GENTIAN RD #200, EAGAN, MN, 55121

Signature of

Role Plan administrator
Date 2023-07-22
Name of individual signing LEOTA PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-22
Name of individual signing LEOTA PEARSON
Valid signature Filed with authorized/valid electronic signature
PELVITAL, INC. 401(K) PLAN 2021 812720757 2022-07-25 PELVITAL USA, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 339110
Sponsor’s telephone number 6082281866
Plan sponsor’s address 860 BLUE GENTIAN RD #200, EAGAN, MN, 55121

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing LEOTA PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-25
Name of individual signing LEOTA PEARSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
Lydia Zeller Agent

Filing

Filing Name Filing date
Original Filing - Business Corporation (Foreign) (Business Name: Pelvital USA, Inc.) 2023-09-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3583137210 2020-04-27 0508 PPP 1000 Lasalle Ave 435, MINNEAPOLIS, MN, 55403-2025
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59200
Loan Approval Amount (current) 59200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 38669
Servicing Lender Name Lake Region Bank
Servicing Lender Address 51 Main St, NEW LONDON, MN, 56273
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address MINNEAPOLIS, HENNEPIN, MN, 55403-2025
Project Congressional District MN-05
Number of Employees 4
NAICS code 541990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 38669
Originating Lender Name Lake Region Bank
Originating Lender Address NEW LONDON, MN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 59864.36
Forgiveness Paid Date 2021-06-10

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3187235 PELVITAL USA INC PELVITAL USA INC E36TX3BULYB7 860 BLUE GENTIAN RD STE 200, EAGAN, MN, 55121-1567
Capabilities Statement Link -
Phone Number 608-228-1866
Fax Number -
E-mail Address lydia.zeller@pelvital.com
WWW Page https://flytetherapy.com/
E-Commerce Website -
Contact Person LYDIA ZELLER
County Code (3 digit) 037
Congressional District 02
Metropolitan Statistical Area 5120
CAGE Code 9PDG7
Year Established 2016
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications -
Business Development Servicing Office MINNESOTA DISTRICT OFFICE (SBA office code 0508)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 339112
NAICS Code's Description Surgical and Medical Instrument Manufacturing
Small Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Date of last update: 09 Dec 2024

Sources: Minnesota's Official State Website