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  5. Dr. S. A. Patel, P.A.

Dr. S. A. Patel, P.A.

Company Details

Name: Dr. S. A. Patel, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 28 Jun 1979 (46 years ago)
Company Number: fe12936c-b4d4-e011-a886-001ec94ffe7f
File Number: 3L-899
Registered Office Address: 1033 10th Ave, Clarkfield, MN 56223, USA
Principal Executive Office Address: 1025 10th Ave, Clarkfield, MN 56223, USA
ZIP code: 56223
County: Yellow Medicine County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR S A PATEL, P.A. PROFIT SHARING PLAN 2017 411355237 2018-08-20 DR. S.A. PATEL P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address 1411 RAYMOND AVE APT. 3, ST. PAUL, MN, 55108

Signature of
Role Plan administrator
Date 2018-08-20
Name of individual signing DR S.A. PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL, P.A. PROFIT SHARING PLAN 2016 411355237 2017-07-27 DR. S.A. PATEL P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address 1411 RAYMOND AVE APT. 3, ST. PAUL, MN, 55108

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing DR S.A. PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL, P.A. PROFIT SHARING PLAN 2015 411355237 2016-07-28 DR. S.A. PATEL P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address 1025 10TH AVENUE BOX 676, CLARKFIELD, MN, 56223

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing DR S.A. PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL PA PROFIT SHARING PLAN 2014 411355237 2015-07-23 DR. S.A. PATEL P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address 1025 10TH AVENUE BOX 676, CLARKFIELD, MN, 56223

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing DR S.A. PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL, P.A. PROFIT SHARING PLAN 2013 411355237 2014-07-21 DR. S.A. PATEL P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address 1025 10TH AVENUE BOX 676, CLARKFIELD, MN, 56223

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing DR S.A. PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL, P.A. PROFIT SHARING PLAN 2012 411355237 2013-09-30 DR S A PATEL, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address P O BOX 676, 1025 10TH AVENUE, CLARKFIELD, MN, 562230676

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL, P.A. PROFIT SHARING PLAN 2011 411355237 2012-07-25 DR S A PATEL, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address P O BOX 676, 1025 10TH AVENUE, CLARKFIELD, MN, 562230676

Plan administrator’s name and address
Administrator’s EIN 411355237
Plan administrator’s name DR S A PATEL, P.A.
Plan administrator’s address P O BOX 676, 1025 10TH AVENUE, CLARKFIELD, MN, 562230676
Administrator’s telephone number 3206697564

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL, P.A. PROFIT SHARING PLAN 2010 411355237 2011-07-27 DR S A PATEL, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s address P O BOX 676, 1025 10TH AVENUE, CLARKFIELD, MN, 562230676

Plan administrator’s name and address
Administrator’s EIN 411355237
Plan administrator’s name DR S A PATEL, P.A.
Plan administrator’s address P O BOX 676, 1025 10TH AVENUE, CLARKFIELD, MN, 562230676
Administrator’s telephone number 3206697564

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature
DR S A PATEL, P.A. PROFIT SHARING PLAN 2009 411355237 2010-09-03 DR S A PATEL, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-01
Business code 621210
Sponsor’s telephone number 3206697564
Plan sponsor’s mailing address P O BOX 676, 1025 10TH AVENUE, CLARKFIELD, MN, 562230676
Plan sponsor’s address 1025 10TH AVENUE, CLARKFIELD, MN, 562230676

Plan administrator’s name and address
Administrator’s EIN 411355237
Plan administrator’s name DR S A PATEL, P.A.
Plan administrator’s address P O BOX 676, 1025 10TH AVENUE, CLARKFIELD, MN, 562230676
Administrator’s telephone number 3206697564

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-09-03
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-03
Name of individual signing DR S A PATEL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
S A Patel Chief Executive Officer 1411 Raymond Ave Apt #3, St. Paul, MN 55108, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2018-01-24
Intent to Dissolve - Business Corporation (Domestic) 2017-12-13
Amendment - Business Corporation (Domestic) 1980-01-10
Original Filing - Business Corporation (Domestic) 1979-06-28
Business Corporation (Domestic) Business Name (Business Name: Dr. S. A. Patel, P.A.) 1979-06-28

Related by officers

No related officers

Related by address

1033 10th Ave, Clarkfield, MN 56223, USA

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Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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