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  5. Central Lakes Physicians, P.A.

Central Lakes Physicians, P.A.

Company Details

Name: Central Lakes Physicians, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 May 2011 (14 years ago)
Company Number: 5d97c55b-86d4-e011-a886-001ec94ffe7f
File Number: 4301510-2
Registered Office Address: 318 E Main Str, Crosby, MN 56441, USA
Principal Executive Office Address: 320 East Main St, Crosby, MN 56441–5644, United States
ZIP code: 56441
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2023 452205698 2024-06-24 CENTRAL LAKES PHYSICIANS, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-24
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2022 452205698 2023-06-27 CENTRAL LAKES PHYSICIANS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-27
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2021 452205698 2022-05-26 CENTRAL LAKES PHYSICIANS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-26
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2020 452205698 2021-06-07 CENTRAL LAKES PHYSICIANS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2019 452205698 2020-07-20 CENTRAL LAKES PHYSICIANS, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2018 452205698 2019-07-11 CENTRAL LAKES PHYSICIANS, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing CINDY SCHMITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-11
Name of individual signing GEORGE KUHLMANN
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2017 452205698 2018-07-18 CENTRAL LAKES PHYSICIANS, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing CINDY SCHMITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing GEORGE KUHLMANN
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2016 452205698 2017-07-10 CENTRAL LAKES PHYSICIANS, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing CINDY SCHMITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing BRADLEY W. PETERSON
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2015 452205698 2016-04-18 CENTRAL LAKES PHYSICIANS, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2016-04-18
Name of individual signing CINDY SCHMITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-18
Name of individual signing BRADLEY W. PETERSON
Valid signature Filed with authorized/valid electronic signature
CENTRAL LAKES PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2014 452205698 2015-06-15 CENTRAL LAKES PHYSICIANS, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-29
Business code 621111
Sponsor’s telephone number 2185462502
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing CINDY SCHMITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-15
Name of individual signing BRADLEY W. PETERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Monica Goodwin Chief Executive Officer 320 E Main St, Crosby, MN 56441–1645, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Central Lakes Physicians, P.A.)Professional Service - Medicine & Surgery 2011-05-12

Related by officers

No related officers

Related by address

318 E Main Str, Crosby, MN 56441, USA

Premier Surgical Associates, P.A. CUTTING EDGE SURGICAL, PLC Surgical Design Associates, LLC Central Lakes Medical Clinic, P.A. SPORTSCARE INNOVATION, PLC

320 East Main St, Crosby, MN 56441–5644, United States

Premier Surgical Associates, P.A.

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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