| Name: | PRAIRIE PINES DENTAL, PLLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 22 Jul 2022 (2 years ago) |
| Company Number: | 02d166fa-ec09-ed11-9061-00155d01c614 |
| File Number: | 1323003400049 |
| Registered Office Address: | 109 jOHNSON aVE n, Fosston, MN 56542, USA |
| Principal Executive Office Address: | 38994 335th Ave SE, Fosston, MN 56542, USA |
| ZIP code: | 56542 |
| County: | Polk County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRAIRIE PINES DENTAL, PLLC 401(K) PLAN AND TRUST | 2023 | 883425092 | 2024-09-23 | PRAIRIE PINES DENTAL, PLLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-23 |
| Name of individual signing | KARISSA GOETSCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2184351599 |
| Plan sponsor’s address | 109 N JOHNSON AVE, FOSSTON, MN, 56542 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-09 |
| Name of individual signing | KARISSA GOETSCH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Prairie Pines Dental | Manager | 109 Johnson Ave N, Fosston, MN 56542, USA |
| Filing Name | Filing date |
|---|---|
| Original Filing - Limited Liability Company (Domestic) (Business Name: PRAIRIE PINES DENTAL, PLLC)Professional Service - Dentistry & Dental Hygiene | 2022-07-22 |
Date of last update: 24 Sep 2024
Sources: Minnesota's Official State Website
