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  5. NORTHLAND FAMILY PHYSICIANS, LTD.

NORTHLAND FAMILY PHYSICIANS, LTD.

Company Details

Name: NORTHLAND FAMILY PHYSICIANS, LTD.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 27 Oct 1987 (37 years ago)
Company Number: fc5dc3af-a9d4-e011-a886-001ec94ffe7f
File Number: 5S-692
Registered Office Address: 1000 E 1st Str #108, Duluth, MN 55805, USA
ZIP code: 55805
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHLAND FAMILY PHYSICIANS, LTD 401(K) PROFIT SHARING PLAN 2013 411600795 2014-06-03 NORTHLAND FAMILY PHYSICIANS, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2187231100
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
NORTHLAND FAMILY PHYSICIANS, LTD 401(K) PROFIT SHARING PLAN 2013 411600795 2014-06-03 NORTHLAND FAMILY PHYSICIANS, LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2187231100
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
NORTHLAND FAMILY PHYSICIANS, LTD 401(K) PROFIT SHARING PLAN 2012 411600795 2013-05-17 NORTHLAND FAMILY PHYSICIANS, LTD 10
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2187231100
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Signature of
Role Plan administrator
Date 2013-05-17
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-17
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
NORTHLAND FAMILY PHYSICIANS, LTD 401(K) PROFIT SHARING PLAN 2012 411600795 2013-05-17 NORTHLAND FAMILY PHYSICIANS, LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2187231100
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Signature of
Role Plan administrator
Date 2013-05-17
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-17
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
NORTHLAND FAMILY PHYSICIANS, LTD 401(K) PROFIT SHARING PLAN 2011 411600795 2012-06-04 NORTHLAND FAMILY PHYSICIANS, LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2187231100
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 411600795
Plan administrator’s name NORTHLAND FAMILY PHYSICIANS, LTD
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2187231100

Signature of
Role Plan administrator
Date 2012-06-04
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
NORTHLAND FAMILY PHYSICIANS, LTD 401(K) PROFIT SHARING PLAN 2010 411600795 2011-06-15 NORTHLAND FAMILY PHYSICIANS, LTD 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2187231100
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 411600795
Plan administrator’s name NORTHLAND FAMILY PHYSICIANS, LTD
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2187231100

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature
NORTHLAND FAMILY PHYSICIANS LTD. 401(K) PROFIT SHARING PLAN 2009 411600795 2010-09-30 NORTHLAND FAMILY PHYSICIANS LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2187231100
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 411600795
Plan administrator’s name NORTHLAND FAMILY PHYSICIANS LTD.
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2187231100

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing BARBARA HEMENWAY MD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Barbara G Hemenway Chief Executive Officer 821 Grandview Avenue, Duluth, MN 55812, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2014-02-21
Original Filing - Business Corporation (Domestic) (Business Name: NORTHLAND FAMILY PHYSICIANS, LTD.) 1987-10-27

Related by officers

No related officers

Related by address

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Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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