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  5. EDEN PRAIRIE DENTAL CARE

EDEN PRAIRIE DENTAL CARE

Company Details

Name: EDEN PRAIRIE DENTAL CARE
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 15 Apr 2024 (8 months ago)
Company Number: 36d6a98c-66fb-ee11-9081-00155d01c440
File Number: 1461339500031
Principal Place of Business Address: 8220 COMMONWEALTH DR., EDEN PRAIRIE, MN 55344, USA
ZIP code: 55344
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2023 411738454 2024-05-21 EDEN PRAIRIE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2024-05-21
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2022 411738454 2023-09-20 EDEN PRAIRIE DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2021 411738454 2022-08-15 EDEN PRAIRIE DENTAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2020 411738454 2021-10-04 EDEN PRAIRIE DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2019 411738454 2020-04-28 EDEN PRAIRIE DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2018 411738454 2019-06-19 EDEN PRAIRIE DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2017 411738454 2018-07-17 EDEN PRAIRIE DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2016 411738454 2017-07-11 EDEN PRAIRIE DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2015 411738454 2016-06-15 EDEN PRAIRIE DENTAL CARE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature
EDEN PRAIRIE DENTAL CARE 401(K) PROFIT SHARING PLAN 2014 411738454 2015-09-09 EDEN PRAIRIE DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 9524746844
Plan sponsor’s address 6221 BARBERRY CIRCLE, EXCELSIOR, MN, 55331

Signature of
Role Plan administrator
Date 2015-09-09
Name of individual signing KIRK DICKEY
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
KIRK DICKEY Aplicant 6221 BARBERRY CIR, EXCELSIOR, MN 55331

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: EDEN PRAIRIE DENTAL CARE) 2024-04-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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