Lake Region Bone & Joint Surgeons, P.A.

Company Details

Name:	Lake Region Bone & Joint Surgeons, P.A.
Jurisdiction:	Minnesota
Legal type:	Business Corporation (Domestic)
Status:	Inactive
Date formed:	02 Dec 1987 (37 years ago)
Company Number:	455ec3af-a9d4-e011-a886-001ec94ffe7f
File Number:	5T-518
Registered Office Address:	3807 Greenleaf Ave, Bemidji, MN 56601, USA
Principal Executive Office Address:	3807 Greenleaf Ave NW, Bemidji, MN 56601, USA
ZIP code:	56601
County:	Beltrami County
Place of Formation:	Minnesota

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LAKE REGION BONE & JOINT SURGEONS, P.A. PROFIT SHARING PLAN

2009

411598386

2010-10-14

LAKE REGION BONE & JOINT SURGEONS, P.A.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1988-01-01
Business code	621111
Sponsor’s telephone number	2187519746
Plan sponsor’s address	3807 GREENLEAF AVENUE N.W., BEMIDJI, MN, 56601

Plan administrator’s name and address

Administrator’s EIN	411598386
Plan administrator’s name	LAKE REGION BONE & JOINT SURGEONS, P.A.
Plan administrator’s address	3807 GREENLEAF AVENUE N.W., BEMIDJI, MN, 56601
Administrator’s telephone number	2187519746

Signature of

Role	Plan administrator
Date	2010-10-14
Name of individual signing	DR. THOMAS MILLER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-10-14
Name of individual signing	DR. THOMAS MILLER
Valid signature	Filed with authorized/valid electronic signature

Name	Role	Address
Thomas Miller	Chief Executive Officer	3807 Greenleaf Ave NW, Bemidji, MN 56601, USA

Filing Name	Filing date
Administrative Dissolution Name Hold Release - Business Corporation (Domestic)	2014-02-26
Administrative Dissolution - Business Corporation (Domestic)	2013-02-25
Original Filing - Business Corporation (Domestic) (Business Name: Lake Region Bone & Joint Surgeons, P.A.)	1987-12-02

Date of last update: 02 Oct 2024