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  5. Fergus Falls Vision Care, P.A.

Fergus Falls Vision Care, P.A.

Company Details

Name: Fergus Falls Vision Care, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 Aug 2002 (22 years ago)
Company Number: ffa2bee6-9fd4-e011-a886-001ec94ffe7f
File Number: 12H-981
Registered Office Address: 810 N Baird, Fergus Falls, MN 56537, USA
Principal Executive Office Address: 810 N BAIRD AVE, FERGUS FALLS, MN 56537–1617, United States
ZIP code: 56537
County: Otter Tail County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2023 043713186 2024-02-26 FERGUS FALLS VISION CARE, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2024-02-26
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-26
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2022 043713186 2023-02-27 FERGUS FALLS VISION CARE, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2023-02-27
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-27
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2021 043713186 2022-02-06 FERGUS FALLS VISION CARE, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2022-02-06
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-06
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2020 043713186 2021-04-06 FERGUS FALLS VISION CARE, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2021-04-06
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-06
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2019 043713186 2020-04-24 FERGUS FALLS VISION CARE, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-24
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2018 043713186 2019-07-24 FERGUS FALLS VISION CARE, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing RANDALL KEMPFER
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2017 043713186 2018-04-18 FERGUS FALLS VISION CARE, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2018-04-18
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-18
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2016 043713186 2017-01-26 FERGUS FALLS VISION CARE, P.A. 16
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2017-01-26
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-26
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2016 043713186 2017-05-09 FERGUS FALLS VISION CARE, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-08
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature
FERGUS FALLS VISION CARE, P.A. 401(K) PROFIT SHARING PLAN 2015 043713186 2016-11-08 FERGUS FALLS VISION CARE, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2187365609
Plan sponsor’s address 810 N. BAIRD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2016-11-08
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-08
Name of individual signing DENISE HANSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Denise M Hanson Chief Executive Officer 810 N BAIRD AVE, FERGUS FALLS, MN 56537–1617, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2009-09-01
Original Filing - Business Corporation (Domestic) 2002-08-29
Business Corporation (Domestic) Business Name (Business Name: Fergus Falls Vision Care, P.A.) 2002-08-29

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Related by address

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Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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