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Moden Medical Group, PLLC

Company Details

Name: Moden Medical Group, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 16 Aug 2012 (12 years ago)
Company Number: 25f50c51-b8e7-e111-afc0-001ec94ffe7f
File Number: 614025100024
Registered Office Address: 2042 Wooddale Drive, Suite 250, Woodbury, MN 55125, USA
Principal Executive Office Address: STE 250, 2042 WOODDALE DR, WOODBURY, MN 55125–4421, USA
ZIP code: 55125
County: Washington County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HEXDNAYCZNK3 2022-06-13 100 S 5TH ST STE 1900, MINNEAPOLIS, MN, 55402, 1267, USA 100 S 5TH ST STE 1900, MINNEAPOLIS, MN, 55402, 1267, USA

Business Information

URL www.modenmedicalgroup.com
Congressional District 05
State/Country of Incorporation MN, USA
Activation Date 2021-05-19
Initial Registration Date 2021-05-13
Entity Start Date 2012-08-16
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name GAYLE MOMCHILOVICH
Role OFFICE MANAGER
Address 100 S 5TH ST, #1900, MINNEAPOLIS, MN, 55402, USA
Government Business
Title PRIMARY POC
Name HOJUNG YOON
Role CEO
Address 100 S 5TH ST, #1900, MINNEAPOLIS, MN, 55402, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MODEN MEDICAL GROUP 401(K) PLAN 2023 460910711 2024-05-02 MODEN MEDICAL GROUP, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621399
Sponsor’s telephone number 6124442977
Plan sponsor’s address 2042 WOODDALE DR, SUITE 250, WOODBURY, MN, 55125

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-02
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
MODEN MEDICAL GROUP 401(K) PLAN 2022 460910711 2023-05-27 MODEN MEDICAL GROUP, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621399
Sponsor’s telephone number 6515877975
Plan sponsor’s address 100 S 5TH ST, #1900, MINNEAPOLIS, MN, 55402

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
HoJung Yoon Manager STE 250, 2042 WOODDALE DR, WOODBURY, MN 55125–4421, USA

Filing

Filing Name Filing date
Amendment - Limited Liability Company (Domestic) 2023-03-15
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2013-08-15
Original Filing - Limited Liability Company (Domestic) (Business Name: Moden Medical Group, PLLC)Professional Service - Medicine & Surgery 2012-08-16

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website