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  5. Cromwell Medical Clinic PLLC

Cromwell Medical Clinic PLLC

Company Details

Name: Cromwell Medical Clinic PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 23 Jun 2008 (17 years ago)
Company Number: 9e871d01-92d4-e011-a886-001ec94ffe7f
File Number: 2884765-2
Registered Office Address: 5568 Clark Avenue, Suite 1, PO Box 116, Cromwell, MN 55726, USA
Principal Executive Office Address: 5565 Hwy 210, Cromwell, MN 55726–0116, USA
ZIP code: 55726
County: Carlton County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2018 262762732 2019-10-14 CROMWELL MEDICAL CLINIC, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2018 262762732 2019-06-12 CROMWELL MEDICAL CLINIC, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2017 262762732 2018-09-26 CROMWELL MEDICAL CLINIC, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2016 262762732 2017-07-18 CROMWELL MEDICAL CLINIC, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2015 262762732 2016-07-11 CROMWELL MEDICAL CLINIC, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2014 262762732 2015-06-25 CROMWELL MEDICAL CLINIC, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Signature of
Role Plan administrator
Date 2015-06-25
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2013 262762732 2014-06-13 CROMWELL MEDICAL CLINIC, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2012 262762732 2013-07-26 CROMWELL MEDICAL CLINIC, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Plan administrator’s name and address
Administrator’s EIN 262762732
Plan administrator’s name CROMWELL MEDICAL CLINIC, PLLC
Plan administrator’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726
Administrator’s telephone number 2186443811

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature
CROMWELL MEDICAL CLINIC, PLLC RETIREMENT PLAN 2011 262762732 2012-07-31 CROMWELL MEDICAL CLINIC, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-02-01
Business code 621111
Sponsor’s telephone number 2186443811
Plan sponsor’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726

Plan administrator’s name and address
Administrator’s EIN 262762732
Plan administrator’s name CROMWELL MEDICAL CLINIC, PLLC
Plan administrator’s address PO BOX 116, 5565 HIGHWAY 210, CROMWELL, MN, 55726
Administrator’s telephone number 2186443811

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing SHAWN BODE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Shawn Bode Manager 5565 Hwy 210, Cromwell, MN 55726–0116, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2023-03-13
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Annual Reinstatement - Limited Liability Company (Domestic) 2016-03-02
Administrative Termination Name Hold Release - Limited Liability Company (Domestic) 2014-02-27
Administrative Termination - Limited Liability Company (Domestic) 2013-02-26
Original Filing - Limited Liability Company (Domestic) 2008-06-23
Limited Liability Company (Domestic) Business Name (Business Name: Cromwell Medical Clinic PLLC) 2008-06-23

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Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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