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  5. Dermatology Professionals, P.A.

Dermatology Professionals, P.A.

Company Details

Name: Dermatology Professionals, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 Dec 2006 (18 years ago)
Company Number: ba7852e0-8ed4-e011-a886-001ec94ffe7f
File Number: 2160075-4
Registered Office Address: 13359 Isle Drive, Suite 3, Baxter, MN 56425, USA
Principal Executive Office Address: 13359 ISLE DR STE 3, BAXTER, MN 56425–2223, USA
ZIP code: 56425
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY PROFESSIONALS, P.A. 401K AND PROFIT SHARING PLAN 2023 208181277 2024-04-17 DERMATOLOGY PROFESSIONALS, P.A. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2024-04-17
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-17
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. CASH BALANCE PLAN 2023 208181277 2024-06-26 DERMATOLOGY PROFESSIONALS, P.A. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-26
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. 401K AND PROFIT SHARING PLAN 2022 208181277 2023-04-24 DERMATOLOGY PROFESSIONALS, P.A. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2023-04-20
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-20
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. CASH BALANCE PLAN 2022 208181277 2023-07-11 DERMATOLOGY PROFESSIONALS, P.A. 30
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-11
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. CASH BALANCE PLAN 2022 208181277 2023-07-11 DERMATOLOGY PROFESSIONALS, P.A. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-11
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. 401K AND PROFIT SHARING PLAN 2021 208181277 2022-04-14 DERMATOLOGY PROFESSIONALS, P.A. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2022-04-13
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-13
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. CASH BALANCE PLAN 2021 208181277 2022-04-29 DERMATOLOGY PROFESSIONALS, P.A. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-28
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. CASH BALANCE PLAN 2020 208181277 2021-06-22 DERMATOLOGY PROFESSIONALS, P.A. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-22
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. 401K AND PROFIT SHARING PLAN 2020 208181277 2021-06-03 DERMATOLOGY PROFESSIONALS, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-08-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DRIVE, SUITE 3, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2021-06-02
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-02
Name of individual signing PAUL LUNDSTROM
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY PROFESSIONALS, P.A. CASH BALANCE PLAN 2019 208181277 2020-07-01 DERMATOLOGY PROFESSIONALS, P.A. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2184543065
Plan sponsor’s address 13359 ISLE DR STE 3, BAXTER, MN, 564252223

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing ANGELA KUGEL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Paul Lundstrom Chief Executive Officer 21729 HOLMAN POINT DR, NISSWA, MN 56468–2377, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2021-08-25
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Registered Office and/or Agent - Business Corporation (Domestic) 2008-01-16
Business Corporation (Domestic) Business Name (Business Name: Dermatology Professionals, P.A.) 2007-07-02
Original Filing - Business Corporation (Domestic) 2006-12-29
Business Corporation (Domestic) Business Name (Business Name: Paul B Lundstrom, M.D., P.A.) 2006-12-29

Related by officers

Paul Lundstrom

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Related by address

13359 Isle Drive, Suite 3, Baxter, MN 56425, USA

Lakes Medical, LLC

13359 ISLE DR STE 3, BAXTER, MN 56425–2223, USA

Lakes Medical, LLC

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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