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  5. Premier Surgical Associates, P.A.

Premier Surgical Associates, P.A.

Company Details

Name: Premier Surgical Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 May 2011 (14 years ago)
Company Number: 5e97c55b-86d4-e011-a886-001ec94ffe7f
File Number: 4301501-3
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
PREMIER SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2023 452205947 2024-06-05 PREMIER SURGICAL ASSOCIATES, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2023 452205947 2024-06-05 PREMIER SURGICAL ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2024-06-05
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2022 452205947 2023-09-29 PREMIER SURGICAL ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2022 452205947 2023-09-29 PREMIER SURGICAL ASSOCIATES, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2021 452205947 2023-06-12 PREMIER SURGICAL ASSOCIATES, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2023-06-12
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2021 452205947 2023-06-07 PREMIER SURGICAL ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 EAST MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2023-06-07
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2020 452205947 2022-09-08 PREMIER SURGICAL ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 E. MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2020 452205947 2022-09-08 PREMIER SURGICAL ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 E. MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. CASH BALANCE PLAN 2019 452205947 2021-08-05 PREMIER SURGICAL ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 E. MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2021-08-05
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature
PREMIER SURGICAL ASSOCIATES, P.A. 401(K) PLAN 2019 452205947 2021-08-05 PREMIER SURGICAL ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-11-01
Business code 621111
Sponsor’s telephone number 2185462503
Plan sponsor’s address 318 E. MAIN STREET, CROSBY, MN, 56441

Signature of
Role Plan administrator
Date 2021-08-05
Name of individual signing LINDSAY BALMER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Erik P Severson Chief Executive Officer 320 E Main Street, Crosby, MN 56441, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Premier Surgical Associates, 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

Central Lakes Physicians, 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

Central Lakes Physicians, P.A.

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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