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  5. Robert E. Derr, DDS

Robert E. Derr, DDS

Company Details

Name: Robert E. Derr, DDS
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 05 Jul 2005 (19 years ago)
Company Number: 65580df5-8bd4-e011-a886-001ec94ffe7f
File Number: 1420863-2
Principal Place of Business Address: 7810 Terrey Pine Ct, Eden Prairie, MN 55347, USA
ZIP code: 55347
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2017 411701640 2019-01-09 ROBERT E. DERR, DDS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2017 411701640 2018-09-19 ROBERT E. DERR, DDS 9
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2015 411701640 2016-06-27 ROBERT E. DERR, DDS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 411701640
Plan administrator’s name ROBERT E. DERR, DDS
Plan administrator’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
Administrator’s telephone number 9529343569

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing ROBERT DERR
Valid signature Filed with authorized/valid electronic signature
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2014 411701640 2015-09-08 ROBERT E. DERR, DDS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 411701640
Plan administrator’s name ROBERT E. DERR, DDS
Plan administrator’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
Administrator’s telephone number 9529343569

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing ROBERT DERR
Valid signature Filed with authorized/valid electronic signature
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2013 411701640 2014-09-30 ROBERT E. DERR, DDS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 411701640
Plan administrator’s name ROBERT E. DERR, DDS
Plan administrator’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
Administrator’s telephone number 9529343569

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing ROBERT DERR
Valid signature Filed with authorized/valid electronic signature
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2012 411701640 2013-08-19 ROBERT E. DERR, DDS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 411701640
Plan administrator’s name ROBERT E. DERR, DDS
Plan administrator’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
Administrator’s telephone number 9529343569

Signature of
Role Plan administrator
Date 2013-08-19
Name of individual signing ROBERT DERR
Valid signature Filed with authorized/valid electronic signature
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2011 411701640 2012-04-16 ROBERT E. DERR, DDS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 411701640
Plan administrator’s name ROBERT E. DERR, DDS
Plan administrator’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
Administrator’s telephone number 9529343569

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing ROBERT DERR
Valid signature Filed with authorized/valid electronic signature
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2010 411701640 2011-05-02 ROBERT E. DERR, DDS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 411701640
Plan administrator’s name ROBERT E. DERR, DDS
Plan administrator’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
Administrator’s telephone number 9529343569

Signature of
Role Plan administrator
Date 2011-05-02
Name of individual signing ROBERT DERR
Valid signature Filed with authorized/valid electronic signature
ROBERT E. DERR, DDS PROFIT SHARING PLAN 2009 411701640 2010-06-04 ROBERT E. DERR, DDS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9529343569
Plan sponsor’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347

Plan administrator’s name and address
Administrator’s EIN 411701640
Plan administrator’s name ROBERT E. DERR, DDS
Plan administrator’s address 7825 TERRY PINE COURT, EDEN PRAIRIE, MN, 55347
Administrator’s telephone number 9529343569

Signature of
Role Plan administrator
Date 2010-06-04
Name of individual signing ROBERT DERR
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Robert E Derr Aplicant 7810 Terrey Pine Ct, Eden Prairie, MN 55347

Filing

Filing Name Filing date
Administrative Expiration - Assumed Name 2020-02-20
Original Filing - Assumed Name (Business Name: Robert E. Derr, DDS) 2005-07-05

Related by officers

No related officers

Related by address

7810 Terrey Pine Ct, Eden Prairie, MN 55347, USA

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Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website

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