| Name: | Team Spine-Minnesota, Inc. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Inactive |
| Date formed: | 15 Jan 2004 (21 years ago) |
| Company Number: | 8f2563a4-87d4-e011-a886-001ec94ffe7f |
| File Number: | 759419-2 |
| Registered Office Address: | 5353 Gamble Drv #202, Saint Louis Park, MN 55416, USA |
| Principal Executive Office Address: | 5353 Gamble Drv #202, St Louis Park, MN 55416, USA |
| ZIP code: | 55416 |
| County: | Hennepin County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TEAM SPINE MINNESOTA INC 401K PLAN | 2012 | 271354035 | 2013-07-18 | TEAM SPINE MINNESOTA INC | 38 | |||||||||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-07-18 |
| Name of individual signing | KYLE SHERWIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-18 |
| Name of individual signing | KYLE SHERWIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9526975095 |
| Plan sponsor’s address | 5353 GAMBLE DR STE 202, ST LOUIS PARK, MN, 55416 |
Plan administrator’s name and address
| Administrator’s EIN | 271354035 |
| Plan administrator’s name | TEAM SPINE MINNESOTA INC |
| Plan administrator’s address | 5353 GAMBLE DR STE 202, ST LOUIS PARK, MN, 55416 |
| Administrator’s telephone number | 9526975095 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-19 |
| Name of individual signing | TIMOTHY J. HEALY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-06-19 |
| Name of individual signing | TIMOTHY J. HEALY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9526975095 |
| Plan sponsor’s address | 5353 GAMBLE DR STE 202, ST LOUIS PARK, MN, 55416 |
Plan administrator’s name and address
| Administrator’s EIN | 271354035 |
| Plan administrator’s name | TEAM SPINE MINNESOTA INC |
| Plan administrator’s address | 5353 GAMBLE DR STE 202, ST LOUIS PARK, MN, 55416 |
| Administrator’s telephone number | 9526975095 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-08 |
| Name of individual signing | TIMOTHY HEALY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-08 |
| Name of individual signing | TIMOTHY HEALY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Tim Healy | Chief Executive Officer | 5353 Gamble Drv #202, St Louis Park, MN 55416, USA |
| Filing Name | Filing date |
|---|---|
| Merger Non Survivor - Business Corporation (Domestic) | 2012-12-27 |
| Annual Reinstatement - Business Corporation (Domestic) | 2009-11-24 |
| Registered Office and/or Agent - Business Corporation (Domestic) | 2009-11-24 |
| Administrative Dissolution - Business Corporation (Domestic) | 2007-01-08 |
| Original Filing - Business Corporation (Domestic) | 2004-01-15 |
| Business Corporation (Domestic) Business Name (Business Name: Team Spine-Minnesota, Inc.) | 2004-01-15 |
Date of last update: 05 Oct 2024
Sources: Minnesota's Official State Website
