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  5. Shawn T. McCullough, D.D.S., PLLC

Shawn T. McCullough, D.D.S., PLLC

Company Details

Name: Shawn T. McCullough, D.D.S., PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 14 Nov 2005 (19 years ago)
Company Number: 1fba4e9c-8cd4-e011-a886-001ec94ffe7f
File Number: 1582331-2
Registered Office Address: 24285 Primrose Ln, Scandia, MN 55073, USA
Principal Executive Office Address: 6041 Main Street Po Box 40, North Branch, MN 55056, USA
ZIP code: 55073
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUN DENTAL 401(K) PROFIT SHARING PLAN 2023 203965016 2024-07-28 SHAWN T MCCULLOUGH D.D.S., PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056
SUN DENTAL 401(K) PROFIT SHARING PLAN 2022 203965016 2023-10-11 SHAWN T MCCULLOUGH D.D.S., PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056
SUN DENTAL 401(K) PROFIT SHARING PLAN 2021 203965016 2022-10-14 SHAWN T MCCULLOUGH D.D.S., PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056
SUN DENTAL 401(K) PROFIT SHARING PLAN 2020 203965016 2021-07-26 SHAWN T MCCULLOUGH D.D.S., PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056
SUN DENTAL 401(K) PROFIT SHARING PLAN 2019 203965016 2020-10-14 SHAWN T MCCULLOUGH D.D.S., PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056
SUN DENTAL 401(K) PROFIT SHARING PLAN 2018 203965016 2019-10-14 SHAWN T MCCULLOUGH D.D.S., PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056
SUN DENTAL 401(K) PROFIT SHARING PLAN 2017 203965016 2018-09-29 SHAWN T MCCULLOUGH D.D.S., PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056
SUN DENTAL 401(K) PROFIT SHARING PLAN 2016 203965016 2017-05-30 SHAWN T MCCULLOUGH D.D.S., PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing KENNETH LENZMEIER
Valid signature Filed with authorized/valid electronic signature
SUN DENTAL 401(K) PROFIT SHARING PLAN 2015 203965016 2016-04-04 SHAWN T MCCULLOUGH D.D.S., PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2016-04-04
Name of individual signing SHAWN T. MCCULLOUGH
Valid signature Filed with authorized/valid electronic signature
SUN DENTAL 401(K) PROFIT SHARING PLAN 2014 203965016 2015-07-06 SHAWN T MCCULLOUGH D.D.S., PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 6516744811
Plan sponsor’s address 6041 MAIN STREET, NORTH BRANCH, MN, 55056

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing SHAWN T. MCCULLOUGH
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Shawn McCullough Manager 6041 Main Street Po Box 40, North Branch, MN 55056, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Annual Reinstatement - Limited Liability Company (Domestic) 2007-03-01
Administrative Termination - Limited Liability Company (Domestic) 2007-01-11
Original Filing - Limited Liability Company (Domestic) 2005-11-14
Limited Liability Company (Domestic) Business Name (Business Name: Shawn T. McCullough, D.D.S., PLLC) 2005-11-14

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Date of last update: 08 Oct 2024

Sources: Minnesota's Official State Website

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