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  5. Quality Dental Care, LLC

Quality Dental Care, LLC

Company Details

Name: Quality Dental Care, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 16 Feb 2012 (13 years ago)
Company Number: 4e8a3763-db58-e111-b001-001ec94ffe7f
File Number: 471389700028
Registered Office Address: 6901 78th Ave N #105, Brooklyn Park, MN 55445, USA
Principal Executive Office Address: 6901 78TH AVE N STE 105, BROOKLYN PARK, MN 55445–2720, USA
ZIP code: 55445
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
QUALITY DENTAL CARE RETIREMENT PLAN 2023 454557256 2024-09-10 QUALITY DENTAL CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445
QUALITY DENTAL CARE RETIREMENT PLAN 2022 454557256 2023-06-06 QUALITY DENTAL CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature
QUALITY DENTAL CARE RETIREMENT PLAN 2021 454557256 2022-09-20 QUALITY DENTAL CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2022-09-20
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature
QUALITY DENTAL CARE RETIREMENT PLAN 2020 454557256 2021-09-20 QUALITY DENTAL CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2021-09-20
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature
QUALITY DENTAL CARE RETIREMENT PLAN 2019 454557256 2020-07-20 QUALITY DENTAL CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature
QUALITY DENTAL CARE RETIREMENT PLAN 2018 454557256 2019-06-19 QUALITY DENTAL CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature
QUALITY DENTAL CARE RETIREMENT PLAN 2017 454557256 2018-05-18 QUALITY DENTAL CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2018-05-18
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature
QUALITY DENTAL CARE RETIREMENT PLAN 2016 454557256 2017-07-06 QUALITY DENTAL CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature
QUALITY DENTAL CARE RETIREMENT PLAN 2015 454557256 2016-06-30 QUALITY DENTAL CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7632052595
Plan sponsor’s address 6901 78TH AVE. #105, BROOKLYN PARK, MN, 55445

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing XIENG KHAN LEE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Xieng Khan Lee Manager 6901 78TH AVE N STE 105, BROOKLYN PARK, MN 55445–2720, USA

Agent

Name Role
Xieng Khan Lee Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Quality Dental Care, LLC) 2012-02-16

Related by officers

No related officers

Related by address

6901 78th Ave N #105, Brooklyn Park, MN 55445, USA

Boulevard Dental BOULEVARD DENTAL, INC.

6901 78TH AVE N STE 105, BROOKLYN PARK, MN 55445–2720, USA

QUALITY PERSONAL HOME HEALTH CARE LLC

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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