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  5. Byron Dental Group, P.A.

Byron Dental Group, P.A.

Company Details

Name: Byron Dental Group, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 Jan 1981 (44 years ago)
Company Number: 5e93e292-b4d4-e011-a886-001ec94ffe7f
File Number: 3U-884
Registered Office Address: 21 NE Frontage Rd Box 37, Byron, MN 55920, USA
Principal Executive Office Address: 21 Frontage Rd Box 37, Byron, MN 55920, USA
ZIP code: 55920
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2023 411391821 2024-05-07 BYRON DENTAL GROUP, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE RD NE PO BOX 37, BYRON, MN, 55920

Signature of
Role Plan administrator
Date 2024-05-07
Name of individual signing LORI STACKHOUSE
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2022 411391821 2023-06-29 BYRON DENTAL GROUP, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NORTHEAST, PO BOX 37, BYRON, MN, 55920

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing HEIDI TORGERSON
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2021 411391821 2022-06-08 BYRON DENTAL GROUP, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NORTHEAST, BYRON, MN, 55920

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing DOUGLAS TREBTOSKE
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2020 411391821 2021-08-11 BYRON DENTAL GROUP, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NORTHEAST, BYRON, MN, 55920

Signature of
Role Plan administrator
Date 2021-08-11
Name of individual signing DOUGLAS TREBTOSKE
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2019 411391821 2020-04-02 BYRON DENTAL GROUP, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NORTHEAST, BYRON, MN, 55920

Signature of
Role Plan administrator
Date 2020-04-02
Name of individual signing DOUGLAS TREBTOSKE
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2018 411391821 2019-10-14 BYRON DENTAL GROUP, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NE, BYRON, MN, 559201592

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing DOUG TREBTOSKE
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2017 411391821 2018-10-10 BYRON DENTAL GROUP, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NE, BYRON, MN, 559201592

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing DOUG TREBTOSKE
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2016 411391821 2017-10-13 BYRON DENTAL GROUP, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NE, BYRON, MN, 559201592

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing DOUG TREBTOSKE
Valid signature Filed with authorized/valid electronic signature
BYRON DENTAL GROUP, P.A. 401(K) PLAN 2015 411391821 2016-07-28 BYRON DENTAL GROUP, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NE, BYRON, MN, 559201592

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing DOUG TREBTOSKE
Valid signature Filed with authorized/valid electronic signature
BRYON DENTAL GROUP, P.A. 401(K) PLAN 2014 411391821 2015-10-05 BYRON DENTAL GROUP, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621210
Sponsor’s telephone number 5077756445
Plan sponsor’s address 21 FRONTAGE ROAD NE, BYRON, MN, 559201592

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing DOUG TREBTOSKE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kyle Smith Chief Executive Officer 21 FRONTAGE RD NE, BYRON, MN 55920–1592, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1986-01-07
Business Corporation (Domestic) Election 1983-04-11
Business Corporation (Domestic) Business Name (Business Name: Kenneth D. Zimmerman, D.D.S. and DouglasTrebtoske, D.D.S., P.A.) 1981-09-03
Business Corporation (Domestic) Business Name (Business Name: Byron Dental Group, P.A.) 1981-02-20
Original Filing - Business Corporation (Domestic) 1981-01-12
Business Corporation (Domestic) Business Name (Business Name: Kenneth D. Zimmerman, D.D.S., P.A.) 1981-01-12

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Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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