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Sundell Eye Associates, P.A.

Company Details

Name: Sundell Eye Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Jun 2010 (14 years ago)
Company Number: 80746924-96d4-e011-a886-001ec94ffe7f
File Number: 3899800-2
Registered Office Address: 602 N 6th Ave W, Virginia, MN 55792, USA
Principal Executive Office Address: 602 N 6th Ave W, Virginia, MN 55792–5579, United States
ZIP code: 55792
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2023 272955307 2024-10-11 SUNDELL EYE ASSOCIATES, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2024-10-11
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2022 272955307 2023-10-10 SUNDELL EYE ASSOCIATES, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE WEST, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2021 272955307 2022-10-06 SUNDELL EYE ASSOCIATES, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE W, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2020 272955307 2021-10-13 SUNDELL EYE ASSOCIATES, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE W, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2019 272955307 2020-08-20 SUNDELL EYE ASSOCIATES, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE W, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2020-08-20
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2018 272955307 2019-09-06 SUNDELL EYE ASSOCIATES, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE W, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2019-09-06
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2017 272955307 2018-09-27 SUNDELL EYE ASSOCIATES, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE W, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2016 272955307 2017-07-05 SUNDELL EYE ASSOCIATES, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE W, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2015 272955307 2016-08-08 SUNDELL EYE ASSOCIATES, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 602 N 6TH AVE W, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2016-08-08
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature
SUNDELL EYE ASSOCIATES, P.A. 401(K) PLAN 2014 272955307 2015-07-29 SUNDELL EYE ASSOCIATES, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-10-01
Business code 621111
Sponsor’s telephone number 2187414411
Plan sponsor’s address 901 9TH STREET NORTH, SUITE 219, VIRGINIA, MN, 55792

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing BRIDGET SUNDELL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kate A Gribble Chief Executive Officer 602 N 6th Ave W, Virginia, MN 55792–5579, United States

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2015-08-25
Original Filing - Business Corporation (Domestic) (Business Name: Sundell Eye Associates, P.A.)Professional Service - Medicine & Surgery 2010-06-30

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website