| Name: | Lakeville Dental Associates, P.A. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 17 Nov 2010 (14 years ago) |
| Company Number: | 2bba9dd7-96d4-e011-a886-001ec94ffe7f |
| File Number: | 4062915-2 |
| Registered Office Address: | 20171 Icenic Trl, Lakeville, MN 55044, USA |
| Principal Executive Office Address: | 20171 Icentic Trl, Lakeville, MN 55044, USA |
| ZIP code: | 55044 |
| County: | Dakota County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKEVILLE DENTAL ASSOCIATES, P.A. 401K RETIREMENT PLAN | 2012 | 274060322 | 2013-07-24 | LAKEVILLE DENTAL ASSOCIATES, P.A. | 10 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-07-24 |
| Name of individual signing | ROSE HARRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-24 |
| Name of individual signing | ROSE HARRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9524693300 |
| Plan sponsor’s address | 20171 ICENIC TRAIL, LAKEVILLE, MN, 55350 |
Plan administrator’s name and address
| Administrator’s EIN | 274060322 |
| Plan administrator’s name | LAKEVILLE DENTAL ASSOCIATES, P.A. |
| Plan administrator’s address | 20171 ICENIC TRAIL, LAKEVILLE, MN, 55350 |
| Administrator’s telephone number | 9524693300 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-12 |
| Name of individual signing | ROSE HARRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-12 |
| Name of individual signing | ROSE HARRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Jennifer Harrison | Chief Executive Officer | 20171 Icentic Trl, Lakeville, MN 55044, USA |
| Filing Name | Filing date |
|---|---|
| Annual Reinstatement - Business Corporation (Domestic) | 2013-04-23 |
| Administrative Dissolution - Business Corporation (Domestic) | 2013-02-25 |
| Business Corporation (Domestic) Business Name (Business Name: Lakeville Dental Associates, P.A.) | 2010-12-29 |
| Original Filing - Business Corporation (Domestic)Professional Service - Dentistry & Dental Hygiene | 2010-11-17 |
| Business Corporation (Domestic) Business Name (Business Name: Jennifer E. Harrison, DDS, P.A.) | 2010-11-17 |
Date of last update: 30 Sep 2024
Sources: Minnesota's Official State Website
