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  5. Zumbro Family Dental, PLLC

Zumbro Family Dental, PLLC

Company Details

Name: Zumbro Family Dental, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 10 Jun 2015 (10 years ago)
Company Number: 80ffdca8-a20f-e511-b14d-001ec94ffe7f
File Number: 829540500021
Registered Office Address: 920 Woodlands LN NE, Oronoco, MN 55960, USA
Principal Executive Office Address: 2112 VIKING DR NW STE G, ROCHESTER, MN 55901–3522, USA
ZIP code: 55960
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ZUMBRO FAMILY DENTAL 401(K) PLAN 2023 474314778 2024-05-03 ZUMBRO FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 5072881066
Plan sponsor’s address 2112 VIKING DR NW, SUITE G, ROCHESTER, MN, 55901

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-03
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
ZUMBRO FAMILY DENTAL 401(K) PLAN 2022 474314778 2023-05-26 ZUMBRO FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 5072881066
Plan sponsor’s address 2112 VIKING DR NW, SUITE G, ROCHESTER, MN, 55901

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
ZUMBRO FAMILY DENTAL 401(K) PLAN 2021 474314778 2022-05-31 ZUMBRO FAMILY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 5072881066
Plan sponsor’s address 2112 VIKING DR NW, SUITE G, ROCHESTER, MN, 55901

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
ZUMBRO FAMILY DENTAL 401(K) PLAN 2020 474314778 2021-05-03 ZUMBRO FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Plan sponsor’s address 2112 VIKING DR NW, SUITE G, ROCHESTER, MN, 55901

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-03
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
ZUMBRO FAMILY DENTAL 401(K) PLAN 2019 474314778 2020-05-20 ZUMBRO FAMILY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Plan sponsor’s address 2112 VIKING DR NW, SUITE G, ROCHESTER, MN, 55901

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-19
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
ZUMBRO FAMILY DENTAL 401(K) PLAN 2018 474314778 2019-07-17 ZUMBRO FAMILY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 5072881066
Plan sponsor’s address 2112 VIKING DR NW, SUITE G, ROCHESTER, MN, 55901

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
ZUMBRO FAMILY DENTAL 401(K) PLAN 2017 474314778 2018-07-27 ZUMBRO FAMILY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621210
Sponsor’s telephone number 5072881066
Plan sponsor’s address 2112 VIKING DR NW, SUITE G, ROCHESTER, MN, 55901

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Nicholas Philip Brong Manager 2112 VIKING DR NW STE G, ROCHESTER, MN 55901–3522, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2019-03-07
Statement of Authority - Limited Liability Company 2019-03-07
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Amendment - Limited Liability Company (Domestic) (Business Name: Zumbro Family Dental, PLLC)Election to Become a Professional Firm Professional Service - Dentistry & Dental Hygiene Restated Articles 2015-06-15
Original Filing - Limited Liability Company (Domestic) (Business Name: Zumbro Family Dental, LLC) 2015-06-10

Related by officers

Nicholas Philip Brong

NPB Properties, LLC

Related by address

2112 VIKING DR NW STE G, ROCHESTER, MN 55901–3522, USA

NPB Properties, LLC

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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