Search icon

Wadena Family Dental, P.A.

Company Details

Name: Wadena Family Dental, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Apr 2007 (18 years ago)
Company Number: 4222ceab-8fd4-e011-a886-001ec94ffe7f
File Number: 2336366-2
Registered Office Address: 122 Southwest Colfax, Wadena, MN 56482, USA
Principal Executive Office Address: 122 COLFAX AVE SW, WADENA, MN 56482–1470, UNITED STATES
ZIP code: 56482
County: Wadena County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WADENA FAMILY DENTAL 401(K) PLAN 2023 260415654 2024-09-12 WADENA FAMILY DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2024-09-12
Name of individual signing DANELLE WEIHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-12
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2022 260415654 2023-08-15 WADENA FAMILY DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2023-08-15
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2021 260415654 2022-09-23 WADENA FAMILY DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2022-09-23
Name of individual signing DANELLE WEIHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-23
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2020 260415654 2021-07-08 WADENA FAMILY DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2019 260415654 2020-10-02 WADENA FAMILY DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2020-10-02
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2018 260415654 2019-08-22 WADENA FAMILY DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2019-08-22
Name of individual signing DR. WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-22
Name of individual signing DR. WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2017 260415654 2018-08-13 WADENA FAMILY DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2018-08-13
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2016 260415654 2017-07-12 WADENA FAMILY DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2017-06-05
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-05
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2015 260415654 2016-07-08 WADENA FAMILY DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2016-07-08
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-08
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
WADENA FAMILY DENTAL 401(K) PLAN 2014 260415654 2015-05-19 WADENA FAMILY DENTAL, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2186314525
Plan sponsor’s address 122 COLFAX AVENUE NW, WADENA, MN, 56482

Signature of

Role Plan administrator
Date 2015-05-19
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-19
Name of individual signing WILLIAM LARSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
William K Larson Chief Executive Officer 122 COLFAX AVE SW, WADENA, MN 56482–1470, UNITED STATES

Filing

Filing Name Filing date
Business Corporation (Domestic) Business Name (Business Name: Wadena Family Dental, P.A.) 2007-05-01
Original Filing - Business Corporation (Domestic) 2007-04-30
Business Corporation (Domestic) Business Name (Business Name: Wadena Dental, P.A.) 2007-04-30

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website