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  5. Midwest Special Instruments Corp.

Midwest Special Instruments Corp.

Company Details

Name: Midwest Special Instruments Corp.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 04 Aug 2009 (15 years ago)
Company Number: bd7d4b63-94d4-e011-a886-001ec94ffe7f
File Number: 3437377-2
Registered Office Address: 12302 Princeton Ave, Savage, MN 55378, USA
Principal Executive Office Address: 12302 Princeton Ave S, Savage, MN 55378, USA
ZIP code: 55378
County: Scott County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FM4JUBJW8TF4 2024-12-25 16204 LAKESIDE AVE SE, PRIOR LAKE, MN, 55372, 2493, USA 12302 PRINCETON AVE, SAVAGE, MN, 55378, USA

Business Information
URL https://www.midwestsi.com/Home_Page.html
Division Name MIDWEST SPECIAL INSTRUMENTS CORP
Division Number MIDWEST SP
Congressional District 02
State/Country of Incorporation MN, USA
Activation Date 2024-01-08
Initial Registration Date 2011-02-15
Entity Start Date 2009-09-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 423450

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MATT WILLIAMS
Role PRESIDENT
Address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378, USA
Government Business
Title PRIMARY POC
Name MATT WILLIAMS
Role PRESIDENT
Address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2023 270675227 2024-06-19 MIDWEST SPECIAL INSTRUMENTS CORP 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 423400
Sponsor’s telephone number 9522306357
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2022 270675227 2023-06-09 MIDWEST SPECIAL INSTRUMENTS CORP 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 423400
Sponsor’s telephone number 9522306357
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2023-06-09
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2021 270675227 2022-08-12 MIDWEST SPECIAL INSTRUMENTS CORP 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 423400
Sponsor’s telephone number 9522306357
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2022-08-12
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2020 270675227 2021-06-30 MIDWEST SPECIAL INSTRUMENTS CORP 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 423400
Sponsor’s telephone number 9522306357
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2019 270675227 2020-07-29 MIDWEST SPECIAL INSTRUMENTS CORP 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 445299
Sponsor’s telephone number 9522306357
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2018 270675227 2019-07-18 MIDWEST SPECIAL INSTRUMENTS CORP. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 621399
Sponsor’s telephone number 9528080320
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2017 270675227 2018-05-08 MIDWEST SPECIAL INSTRUMENTS CORP. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 621399
Sponsor’s telephone number 9528080320
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2016 270675227 2017-05-30 MIDWEST SPECIAL INSTRUMENTS CORP. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 621399
Sponsor’s telephone number 9528080320
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2015 270675227 2016-06-23 MIDWEST SPECIAL INSTRUMENTS CORP. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 621399
Sponsor’s telephone number 9528080320
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2016-06-23
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature
MIDWEST SPECIAL INSTRUMENTS (MSI) CORP. 401(K) PLAN 2014 270675227 2015-06-04 MIDWEST SPECIAL INSTRUMENTS CORP. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-04-03
Business code 621399
Sponsor’s telephone number 9528080320
Plan sponsor’s address 12302 PRINCETON AVENUE, SAVAGE, MN, 55378

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing ROBERT GRUNDTNER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Matthew Williams Chief Executive Officer 12302 Princeton Ave S, Savage, MN 55378, USA

Agent

Name Role
Matthew Williams Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2015-02-17
Original Filing - Business Corporation (Domestic) (Business Name: Midwest Special Instruments Corp.) 2009-08-04

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 36C26324P1000 2024-08-15 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C26324P1000_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 84575.00
Current Award Amount 84575.00
Potential Award Amount 84575.00

Description
Title TITAN V4 TYMPANOMETERS
NAICS Code 334510: ELECTROMEDICAL AND ELECTROTHERAPEUTIC APPARATUS MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MIDWEST SPECIAL INSTRUMENTS CORP
UEI FM4JUBJW8TF4
Recipient Address UNITED STATES, 16204 LAKESIDE AVE SE, PRIOR LAKE, SCOTT, MINNESOTA, 553722493
PURCHASE ORDER AWARD 36C26324P0989 2024-07-20 2025-07-19 2029-07-19
Unique Award Key CONT_AWD_36C26324P0989_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 21172.50
Current Award Amount 21172.50
Potential Award Amount 105862.50

Description
Title AUDIOLOGY EQUIPMENT REPAIR AND SOUND ROOM CERTIFICATION
NAICS Code 811210: ELECTRONIC AND PRECISION EQUIPMENT REPAIR AND MAINTENANCE
Product and Service Codes J065: MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MIDWEST SPECIAL INSTRUMENTS CORP
UEI FM4JUBJW8TF4
Recipient Address UNITED STATES, 16204 LAKESIDE AVE SE, PRIOR LAKE, SCOTT, MINNESOTA, 553722493
PURCHASE ORDER AWARD 36C26324P0787 2024-06-04 2025-06-03 2025-06-03
Unique Award Key CONT_AWD_36C26324P0787_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 68155.00
Current Award Amount 68155.00
Potential Award Amount 68155.00

Description
Title HEARING AID ANALYZERS
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MIDWEST SPECIAL INSTRUMENTS CORP
UEI FM4JUBJW8TF4
Recipient Address UNITED STATES, 16204 LAKESIDE AVE SE, PRIOR LAKE, SCOTT, MINNESOTA, 553722493
PURCHASE ORDER AWARD 36C26324P0726 2024-05-20 2025-05-19 2025-05-19
Unique Award Key CONT_AWD_36C26324P0726_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 284633.50
Current Award Amount 289465.00
Potential Award Amount 289465.00

Description
Title VESTIBULAR TESTING SYSTEM
NAICS Code 334510: ELECTROMEDICAL AND ELECTROTHERAPEUTIC APPARATUS MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MIDWEST SPECIAL INSTRUMENTS CORP
UEI FM4JUBJW8TF4
Recipient Address UNITED STATES, 16204 LAKESIDE AVE SE, PRIOR LAKE, SCOTT, MINNESOTA, 553722493
PURCHASE ORDER AWARD 36C26323P0550 2023-04-16 2024-04-15 2028-04-15
Unique Award Key CONT_AWD_36C26323P0550_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 43047.00
Current Award Amount 43047.00
Potential Award Amount 103945.50

Description
Title AUDIOLOGY EQUIPMENT CALIBRATION SERVICES
NAICS Code 811210: ELECTRONIC AND PRECISION EQUIPMENT REPAIR AND MAINTENANCE
Product and Service Codes J065: MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MIDWEST SPECIAL INSTRUMENTS CORP
UEI FM4JUBJW8TF4
Recipient Address UNITED STATES, 12302 PRINCETON AVE, SAVAGE, SCOTT, MINNESOTA, 553781338
PURCHASE ORDER AWARD 36C26319P0647 2019-05-07 2024-05-06 2024-05-06
Unique Award Key CONT_AWD_36C26319P0647_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 75481.02
Current Award Amount 75481.02
Potential Award Amount 75481.02

Description
Title AUDIOLOGY EQUIPMENT REPAIR AND CALIBRATION. OY4 INCREASE
NAICS Code 811219: OTHER ELECTRONIC AND PRECISION EQUIPMENT REPAIR AND MAINTENANCE
Product and Service Codes J065: MAINT/REPAIR/REBUILD OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MIDWEST SPECIAL INSTRUMENTS CORP
UEI FM4JUBJW8TF4
Recipient Address UNITED STATES, 12302 PRINCETON AVE, SAVAGE, SCOTT, MINNESOTA, 553781338

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Related by address

12302 Princeton Ave S, Savage, MN 55378, USA

J. W. Gunderson and Associates, Inc.

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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