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  5. Vascular Surgery Associates, P.A.

Vascular Surgery Associates, P.A.

Company Details

Name: Vascular Surgery Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 27 Jan 1999 (26 years ago)
Company Number: f9dc8836-b6d4-e011-a886-001ec94ffe7f
File Number: 10M-159
Registered Office Address: 11855 Ulysses St NE, Suite 220, Blaine, MN 55434, USA
Principal Executive Office Address: 11855 Ulysses St. NE, Suite 220, Blaine, MN 55434, USA
ZIP code: 55434
County: Anoka County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LRAPM2FJPNZ6 2024-07-09 11855 ULYSSES ST NE STE 220, MINNEAPOLIS, MN, 55434, 4181, USA 11855 ULYSSES ST. NE, SUITE 220, BLAINE, MN, 55434, 4181, USA

Business Information
Doing Business As VASCULAR SURGERY ASSOC
URL http://www.vsavip.com
Congressional District 06
State/Country of Incorporation MN, USA
Activation Date 2023-07-11
Initial Registration Date 2008-11-04
Entity Start Date 1999-05-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name AMBERJOY ROSA
Address 11855 ULYSSES ST. NE, BLAINE, MN, 55434, USA
Title ALTERNATE POC
Name CRAIG WALVATNE
Address 3887 COON RAPIDS BLVD, COON RAPIDS, MN, 55433, 2518, USA
Government Business
Title PRIMARY POC
Name CRAIG WALVATNE
Address 11855 ULYSSES ST. NE, SUITE 220, BLAINE, MN, 55434, USA
Title ALTERNATE POC
Name STEPHANIE WALVATNE
Address 11855 ULYSSES ST. NE, SUITE 220, BLAINE, MN, 55434, USA
Past Performance
Title PRIMARY POC
Name CRAIG WALVATNE
Address 3887 COON RAPIDS BLVD, COON RAPIDS, MN, 55433, 2518, USA
Title ALTERNATE POC
Name STEPHANIE WALVATNE
Address 11855 ULYSSES ST. NE, SUITE 220, BLAINE, MN, 55433, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
58MS5 Active Non-Manufacturer 2008-11-04 2024-07-04 2029-07-04 2025-07-02

Contact Information
POC CRAIG WALVATNE
Phone +1 763-427-8547
Fax +1 763-576-5394
Address 11855 ULYSSES ST NE STE 220, MINNEAPOLIS, MN, 55434 4181, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VSA 401(K) RETIREMENT PLAN 2023 411938296 2024-10-01 VASCULAR SURGERY ASSOCIATES P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing CRAIG WALVATNE
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2022 411938296 2023-06-28 VASCULAR SURGERY ASSOCIATES P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing CRAIG WALVATNE
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2021 411938296 2022-05-27 VASCULAR SURGERY ASSOCIATES P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2022-05-27
Name of individual signing CRAIG WALVATNE
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2020 411938296 2021-06-17 VASCULAR SURGERY ASSOCIATES P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing AMBER JOY ROSA
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2019 411938296 2020-08-25 VASCULAR SURGERY ASSOCIATES P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing AMBER JOY ROSA
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2018 411938296 2019-11-02 VASCULAR SURGERY ASSOCIATES P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2019-11-02
Name of individual signing CRAIG WALVATNE
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2017 411938296 2018-07-05 VASCULAR SURGERY ASSOCIATES P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing SOLOMON TILLESKJOR
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2016 411938296 2017-05-18 VASCULAR SURGERY ASSOCIATES P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2017-05-18
Name of individual signing DANA KAPETS
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2015 411938296 2016-06-03 VASCULAR SURGERY ASSOCIATES P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE 220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing DANA KAPETS
Valid signature Filed with authorized/valid electronic signature
VSA 401(K) RETIREMENT PLAN 2014 411938296 2015-06-15 VASCULAR SURGERY ASSOCIATES P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7634278547
Plan sponsor’s address 11855 ULYSSES ST NE #220, BLAINE, MN, 55434

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing DANA KAPETS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Craig Walvatne Chief Executive Officer 11855 Ulysses St. NE, Suite 220, Blaine, MN 55434, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2001-02-05
Original Filing - Business Corporation (Domestic) 1999-01-27
Business Corporation (Domestic) Business Name (Business Name: Vascular Surgery Associates, P.A.) 1999-01-27

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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