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  5. Bloomington-Lake Clinic, Ltd.

Bloomington-Lake Clinic, Ltd.

Company Details

Name: Bloomington-Lake Clinic, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 27 Jun 1962 (62 years ago)
Company Number: 19d6b7a1-a7d4-e011-a886-001ec94ffe7f
File Number: 1B-1121
Registered Office Address: 7800 Lawndale Ln N, Maple Grove, MN 55311, USA
Principal Executive Office Address: 7901 Xerxes Av So #116, Bloomington, MN 55431–1253, USA
ZIP code: 55311
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLOOMINGTON LAKE CLINIC, LTD. 401(K) PROFIT SHARING PLAN 2012 410858092 2013-05-08 BLOOMINGTON LAKE CLINIC, LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1962-10-01
Business code 621111
Sponsor’s telephone number 6122772188
Plan sponsor’s address 7901 XERXES AVE S STE 116, MINNEAPOLIS, MN, 554311200

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-08
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON LAKE CLINIC, LTD. 401(K) PROFIT SHARING PLAN 2011 410858092 2013-01-03 BLOOMINGTON LAKE CLINIC, LTD. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1962-10-01
Business code 621111
Sponsor’s telephone number 6122772188
Plan sponsor’s address 7901 XERXES AVE S STE 116, MINNEAPOLIS, MN, 554311200

Plan administrator’s name and address
Administrator’s EIN 410858092
Plan administrator’s name BLOOMINGTON LAKE CLINIC, LTD.
Plan administrator’s address 7901 XERXES AVE S STE 116, MINNEAPOLIS, MN, 554311200
Administrator’s telephone number 6122772188

Signature of
Role Plan administrator
Date 2013-01-03
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-03
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON LAKE CLINIC, LTD. 401(K) PROFIT SHARING PLAN 2010 410858092 2011-12-27 BLOOMINGTON LAKE CLINIC, LTD. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1962-10-01
Business code 621111
Sponsor’s telephone number 6122772188
Plan sponsor’s address 7901 XERXES AVE S STE 116, MINNEAPOLIS, MN, 554311200

Plan administrator’s name and address
Administrator’s EIN 410858092
Plan administrator’s name BLOOMINGTON LAKE CLINIC, LTD.
Plan administrator’s address 7901 XERXES AVE S STE 116, MINNEAPOLIS, MN, 554311200
Administrator’s telephone number 6122772188

Signature of
Role Plan administrator
Date 2011-12-27
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-27
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON LAKE CLINIC, LTD. 401(K) PROFIT SHARING PLAN 2009 410858092 2011-05-18 BLOOMINGTON LAKE CLINIC, LTD. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1962-10-01
Business code 621111
Sponsor’s telephone number 6122772188
Plan sponsor’s address 3017 BLOOMINGTON AVE, MINNEAPOLIS, MN, 554071715

Plan administrator’s name and address
Administrator’s EIN 410858092
Plan administrator’s name BLOOMINGTON LAKE CLINIC, LTD.
Plan administrator’s address 3017 BLOOMINGTON AVE, MINNEAPOLIS, MN, 554071715
Administrator’s telephone number 6122772188

Signature of
Role Plan administrator
Date 2011-05-18
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-18
Name of individual signing ROBERT VOGEL
Valid signature Filed with authorized/valid electronic signature
BLOOMINGTON LAKE CLINIC, LTD. 401(K) PROFIT SHARING PLAN 2009 410858092 2011-05-17 BLOOMINGTON LAKE CLINIC, LTD. 92
Three-digit plan number (PN) 001
Effective date of plan 1962-10-01
Business code 621111
Sponsor’s telephone number 6122772188
Plan sponsor’s address 3017 BLOOMINGTON AVE, MINNEAPOLIS, MN, 554071715

Plan administrator’s name and address
Administrator’s EIN 410858092
Plan administrator’s name BLOOMINGTON LAKE CLINIC, LTD.
Plan administrator’s address 3017 BLOOMINGTON AVE, MINNEAPOLIS, MN, 554071715
Administrator’s telephone number 6122772188

Signature of
Role Plan administrator
Date 2011-05-17
Name of individual signing ROBERT VOGEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-05-17
Name of individual signing ROBERT VOGEL
Valid signature Filed with incorrect/unrecognized electronic signature

Chief Executive Officer

Name Role Address
Robert Vogel Chief Executive Officer 7901 Xerxes Av So #116, Bloomington, MN 55431–1253, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2015-06-08
Registered Office and/or Agent - Business Corporation (Domestic) 2013-12-02
Amendment - Business Corporation (Domestic) 1999-11-23
Business Corporation (Domestic) Restated Articles 1989-11-14
Business Corporation (Domestic) Active Status Report 1979-07-30
Original Filing - Business Corporation (Domestic)Professional Service - Medicine & Surgery 1962-06-27
Business Corporation (Domestic) Business Name (Business Name: Bloomington-Lake Clinic, Ltd.) 1962-06-27

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Date of last update: 29 Nov 2024

Sources: Minnesota's Official State Website

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