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Blaine Chiropractic Center, P.A.

Company Details

Name: Blaine Chiropractic Center, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 02 Sep 1981 (43 years ago)
Company Number: b0d2aeee-99d4-e011-a886-001ec94ffe7f
File Number: 3Y-729
Registered Office Address: 11919 Central Ave NE, Blaine, MN 55434, USA
Principal Executive Office Address: 11919 CENTRAL AVE NE, BLAINE, MN 55434, USA
ZIP code: 55434
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2019 411408393 2020-04-28 BLAINE CHIROPRACTIC CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911

Signature of

Role Plan administrator
Date 2020-04-28
Name of individual signing THOMAS C. RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing THOMAS C. RICE
Valid signature Filed with authorized/valid electronic signature
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2018 411408393 2019-07-11 BLAINE CHIROPRACTIC CENTER, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911

Signature of

Role Plan administrator
Date 2019-07-11
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-11
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2017 411408393 2018-07-20 BLAINE CHIROPRACTIC CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911

Signature of

Role Plan administrator
Date 2018-07-19
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-19
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2016 411408393 2017-06-27 BLAINE CHIROPRACTIC CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-27
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2015 411408393 2016-06-13 BLAINE CHIROPRACTIC CENTER, P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2015 411408393 2016-06-20 BLAINE CHIROPRACTIC CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2014 411408393 2015-04-01 BLAINE CHIROPRACTIC CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911

Signature of

Role Plan administrator
Date 2015-04-01
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-01
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2013 411408393 2014-06-30 BLAINE CHIROPRACTIC CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911

Signature of

Role Plan administrator
Date 2014-06-27
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-27
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
BLAINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN 2012 411408393 2013-06-14 BLAINE CHIROPRACTIC CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621310
Sponsor’s telephone number 7637571660
Plan sponsor’s address 11919 CENTRAL AVENUE, N.E., BLAINE, MN, 554343911

Signature of

Role Plan administrator
Date 2013-06-14
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-14
Name of individual signing THOMAS RICE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Samuel S. Schwieters Chief Executive Officer 11919 Central Ave NE, Blaine, MN 55434, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Professional Service - Chiropractic 2023-01-20
Annual Reinstatement - Business Corporation (Domestic) 2019-07-23
Administrative Dissolution - Business Corporation (Domestic) 2019-03-15
Registered Office and/or Agent - Business Corporation (Domestic) 1988-10-27
Original Filing - Business Corporation (Domestic) 1981-09-02
Business Corporation (Domestic) Business Name (Business Name: Blaine Chiropractic Center, P.A.) 1981-09-02

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website