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  5. Northland OB-GYN Associates, P.A.

Northland OB-GYN Associates, P.A.

Company Details

Name: Northland OB-GYN Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 21 Dec 1971 (53 years ago)
Company Number: 7147bb49-afd4-e011-a886-001ec94ffe7f
File Number: 2B-110
Registered Office Address: 1000 E 1st Str, Duluth, MN 55805, USA
Principal Executive Office Address: 1000 E 1st Ste LL, Duluth, MN 55805, USA
ZIP code: 55805
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2013 410975834 2014-06-16 NORTHLAND OB-GYN ASSOCIATES, P.A. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 2182494700
Plan sponsor’s mailing address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 410975834
Plan administrator’s name NORTHLAND OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2182494700

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-06-16
Name of individual signing JUDITH JOHNSON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2012 410975834 2014-05-20 NORTHLAND OB-GYN ASSOCIATES, P.A. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 2183914212
Plan sponsor’s mailing address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 410975834
Plan administrator’s name NORTHLAND OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2183914212

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 36
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 36
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-05-20
Name of individual signing JUDITH JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-20
Name of individual signing JUDITH JOHNSON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2011 410975834 2012-10-10 NORTHLAND OB-GYN ASSOCIATES, P.A. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 2187225629
Plan sponsor’s mailing address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 410975834
Plan administrator’s name NORTHLAND OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2187225629

Number of participants as of the end of the plan year
Active participants 42
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 49
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing JUDITH JOHNSON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2010 410975834 2011-10-12 NORTHLAND OB-GYN ASSOCIATES, P.A. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 2187225629
Plan sponsor’s mailing address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 410975834
Plan administrator’s name NORTHLAND OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2187225629

Number of participants as of the end of the plan year
Active participants 43
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 45
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing JAYME HEIM
Valid signature Filed with authorized/valid electronic signature
NORTHLAND OB-GYN ASSOCIATES, P.A. 401(K) PLAN 2009 410975834 2010-10-01 NORTHLAND OB-GYN ASSOCIATES, P.A. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 2187225629
Plan sponsor’s mailing address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Plan sponsor’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805

Plan administrator’s name and address
Administrator’s EIN 410975834
Plan administrator’s name NORTHLAND OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1000 EAST FIRST STREET, DULUTH, MN, 55805
Administrator’s telephone number 2187225629

Number of participants as of the end of the plan year
Active participants 40
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 44
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing JAYME HEIM
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
James Sebastian M.D. Chief Executive Officer 1000 E 1st Ste LL, Duluth, MN 55805, USA

Filing

Filing Name Filing date
Administrative Dissolution Name Hold Release - Business Corporation (Domestic) 2014-02-26
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Business Corporation (Domestic) Business Name (Business Name: Northland OB-GYN Associates, P.A.) 2000-06-02
Business Corporation (Domestic) Active Status Report 1980-02-20
Registered Office and/or Agent - Business Corporation (Domestic) 1980-02-05
Original Filing - Business Corporation (Domestic) 1971-12-21
Business Corporation (Domestic) Business Name (Business Name: Duluth Ob-Gyn Associates, P.A.) 1971-12-21

Related by officers

No related officers

Related by address

1000 E 1st Str, Duluth, MN 55805, USA

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Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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