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BLUE EARTH VALLEY EYE CLINIC, LTD.

Company Details

Name: BLUE EARTH VALLEY EYE CLINIC, LTD.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 29 Jun 1988 (36 years ago)
Company Number: 64c74ba1-b3d4-e011-a886-001ec94ffe7f
File Number: 5Z-329
Registered Office Address: 435 S Grove Str, Blue Earth, MN 56013, USA
Principal Executive Office Address: 435 S Grove St., PO Box 36, Blue Earth, MN 56013, USA
ZIP code: 56013
County: Faribault County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2023 411616434 2024-01-08 BLUE EARTH VALLEY EYE CLINIC, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2024-01-08
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-08
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2022 411616434 2023-09-11 BLUE EARTH VALLEY EYE CLINIC, LTD. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-11
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2021 411616434 2022-07-21 BLUE EARTH VALLEY EYE CLINIC, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2020 411616434 2021-02-12 BLUE EARTH VALLEY EYE CLINIC, LTD. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2021-02-11
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-11
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2019 411616434 2020-08-11 BLUE EARTH VALLEY EYE CLINIC, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2020-08-11
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-11
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2017 411616434 2018-06-19 BLUE EARTH VALLEY EYE CLINIC, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2018-06-19
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2016 411616434 2017-04-13 BLUE EARTH VALLEY EYE CLINIC, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2017-04-13
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2015 411616434 2016-09-29 BLUE EARTH VALLEY EYE CLINIC, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2016-09-29
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2014 411616434 2015-07-15 BLUE EARTH VALLEY EYE CLINIC, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN 2013 411616434 2014-06-14 BLUE EARTH VALLEY EYE CLINIC, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 5075262222
Plan sponsor’s address 435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013

Signature of

Role Plan administrator
Date 2014-06-14
Name of individual signing BRENT JOHNSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Brent D. Johnson Chief Executive Officer 435 S Grove St., PO Box 36, Blue Earth, MN 56013, United States

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2024-07-16
Intent to Dissolve - Business Corporation (Domestic) 2024-05-02
Annual Reinstatement - Business Corporation (Domestic) 2006-09-07
Registered Office and/or Agent - Business Corporation (Domestic) 2006-09-07
Administrative Dissolution - Business Corporation (Domestic) 2006-01-17
Business Corporation (Domestic) Business Name (Business Name: BLUE EARTH VALLEY EYE CLINIC, LTD.) 1988-06-29
Original Filing - Business Corporation (Domestic) 1988-06-29

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website