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  5. Minnesota Ophthalmic Plastic Surgery Specialists

Minnesota Ophthalmic Plastic Surgery Specialists

Company Details

Name: Minnesota Ophthalmic Plastic Surgery Specialists
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 30 Aug 2023 (a year ago)
Company Number: efa61057-6347-ee11-9076-00155d01c440
File Number: 1406698600062
Principal Place of Business Address: 4200 Dahlberg Drive, Suite 300, Golden Valley, MN 55422, USA
ZIP code: 55422
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2017 411668687 2018-04-25 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2018-04-25
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-25
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2016 411668687 2017-06-29 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2017-06-29
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-29
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2015 411668687 2016-07-05 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2016-07-03
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-03
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2014 411668687 2015-04-22 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-22
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2013 411668687 2014-05-29 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2014-05-28
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-28
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2012 411668687 2013-10-02 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2011 411668687 2012-06-04 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411668687
Plan administrator’s name MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS
Plan administrator’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435
Administrator’s telephone number 9529254161

Signature of
Role Plan administrator
Date 2012-06-04
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-04
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2010 411668687 2011-06-07 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411668687
Plan administrator’s name MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS
Plan administrator’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435
Administrator’s telephone number 9529254161

Signature of
Role Plan administrator
Date 2011-06-07
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-07
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2009 411668687 2010-08-19 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411668687
Plan administrator’s name MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS
Plan administrator’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435
Administrator’s telephone number 9529254161

Signature of
Role Plan administrator
Date 2010-08-17
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-17
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 401(K) PLAN 2009 411668687 2010-08-17 MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS 11
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 9529254161
Plan sponsor’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435

Plan administrator’s name and address
Administrator’s EIN 411668687
Plan administrator’s name MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS
Plan administrator’s address 6405 FRANCE AVENUE, SUITE W460, EDINA, MN, 55435
Administrator’s telephone number 9529254161

Signature of
Role Plan administrator
Date 2010-08-17
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-17
Name of individual signing ERIC R. NELSON, M.D.
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Infinite Health Collaborative, P.A. Aplicant 4200 Dahlberg Drive, Suite 300, Golden Valley, MN 55422

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Minnesota Ophthalmic Plastic Surgery Specialists) 2023-08-30

Related by officers

Infinite Health Collaborative, P.A.

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Related by address

4200 Dahlberg Drive, Suite 300, Golden Valley, MN 55422, USA

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Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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