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Medistim USA, Inc.

Company Details

Name: Medistim USA, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Foreign)
Status: Active / In Good Standing
Date formed: 29 Nov 2001 (23 years ago)
Company Number: f91110c5-b5d4-e011-a886-001ec94ffe7f
File Number: 113329
Registered Office Address: 14000 25th Ave N #108, Plymouth, MN 55447, USA
ZIP code: 55447
County: Hennepin County
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDISTIM USA INC 401K PLAN 2023 593692221 2024-04-08 MEDISTIM USA, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 423400
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 554470000

Signature of

Role Plan administrator
Date 2024-04-08
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-08
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2022 593692221 2023-03-20 MEDISTIM USA, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 423400
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2023-03-20
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-20
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2021 593692221 2022-04-18 MEDISTIM USA, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 554470000

Signature of

Role Plan administrator
Date 2022-04-18
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-18
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2020 593692221 2021-05-11 MEDISTIM USA, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2021-05-11
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-11
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2019 593692221 2020-04-01 MEDISTIM USA, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 554470000

Signature of

Role Plan administrator
Date 2020-04-01
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-01
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2018 593692221 2019-03-20 MEDISTIM USA, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 554470000

Signature of

Role Plan administrator
Date 2019-03-20
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-20
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2017 593692221 2018-02-08 MEDISTIM USA, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 554470000

Signature of

Role Plan administrator
Date 2018-02-08
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-08
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2016 593692221 2017-02-14 MEDISTIM USA, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2017-02-14
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-14
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2015 593692221 2016-02-09 MEDISTIM USA, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 554470000

Signature of

Role Plan administrator
Date 2016-02-09
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-09
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
MEDISTIM USA INC 401K PLAN 2014 593692221 2015-05-13 MEDISTIM USA, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 541990
Sponsor’s telephone number 7632089852
Plan sponsor’s address 14000 25TH AVENUE N SUITE 108, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2015-05-13
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-13
Name of individual signing MICHAEL FARBELOW
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Mike Farbelow Chief Executive Officer 14000 25TH AVE N STE 108, PLYMOUTH, MN 55447–4902, USA

Agent

Name Role
Mike Farbelow Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Foreign) (Business Name: Medistim USA, Inc.) 2011-10-24
Registered Office and/or Agent - Business Corporation (Foreign) 2005-03-18
Business Corporation (Foreign) Business Name (Business Name: MEDI-STIM USA, INC.) 2002-12-30
Original Filing - Business Corporation (Foreign) 2001-11-29
Business Corporation (Foreign) Business Name (Business Name: QUALITY BYPASS SYSTEMS, INC.) 2001-11-29

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 36C25224P1005 2024-08-12 2024-09-12 2024-09-12
Unique Award Key CONT_AWD_36C25224P1005_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 219840.00
Current Award Amount 219840.00
Potential Award Amount 219840.00

Description

Title MIRAQ ULTIMATE FLOWMETER MQU14001
NAICS Code 334510: ELECTROMEDICAL AND ELECTROTHERAPEUTIC APPARATUS MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details

Recipient MEDISTIM USA, INC.
UEI FLN2MYBGZLL5
Recipient Address UNITED STATES, 14000 25TH AVE N STE 108, MINNEAPOLIS, HENNEPIN, MINNESOTA, 554474902
PURCHASE ORDER AWARD 36C25624P0842 2024-04-10 2024-05-31 2024-05-31
Unique Award Key CONT_AWD_36C25624P0842_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 29800.00
Current Award Amount 29800.00
Potential Award Amount 29800.00

Description

Title MEDISTIM L15 HIGH-FREQUENCY ULTRASOUND IMAGING PROBE
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details

Recipient MEDISTIM USA, INC.
UEI FLN2MYBGZLL5
Recipient Address UNITED STATES, 14000 25TH AVE N STE 108, MINNEAPOLIS, HENNEPIN, MINNESOTA, 554474902
PURCHASE ORDER AWARD 36C24621P0578 2021-03-19 2024-11-05 2024-11-05
Unique Award Key CONT_AWD_36C24621P0578_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 169200.00
Current Award Amount 169200.00
Potential Award Amount 212400.00

Description

Title MIRAQ CARDIOVASCULAR SYSTEM LEASE
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details

Recipient MEDISTIM USA, INC.
UEI FLN2MYBGZLL5
Recipient Address UNITED STATES, 14000 25TH AVE N STE 108, MINNEAPOLIS, HENNEPIN, MINNESOTA, 554474902

Date of last update: 01 Jan 2025

Sources: Minnesota's Official State Website