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Grand Dental Center, PLLC

Company Details

Name: Grand Dental Center, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 12 Dec 2018 (6 years ago)
Company Number: 822930b6-37fe-e811-9169-00155d0deff0
File Number: 1053554400022
Registered Office Address: 1604 Golf Course Road, Grand Rapids, MN 55744, USA
Principal Executive Office Address: 1604 GOLF COURSE RD, GRAND RAPIDS, MN 55744–8648, USA
ZIP code: 55744
County: Itasca County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAND DENTAL CENTER, PLLC EMPLOYEES' PROFIT SHARING PLAN 2023 832816805 2024-08-13 GRAND DENTAL CENTER, PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621210
Sponsor’s telephone number 2183260339
Plan sponsor’s address 1604 GOLF COURSE ROAD, GRAND RAPIDS, MN, 55744

Signature of

Role Plan administrator
Date 2024-08-13
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-13
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
GRAND DENTAL CENTER, PLLC EMPLOYEES' PROFIT SHARING PLAN 2022 832816805 2023-07-26 GRAND DENTAL CENTER, PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621210
Sponsor’s telephone number 2183260339
Plan sponsor’s address 1604 GOLF COURSE ROAD, GRAND RAPIDS, MN, 55744

Signature of

Role Plan administrator
Date 2023-07-26
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-26
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
GRAND DENTAL CENTER, PLLC EMPLOYEES' PROFIT SHARING PLAN 2021 832816805 2022-08-30 GRAND DENTAL CENTER, PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621210
Sponsor’s telephone number 2183260339
Plan sponsor’s address 1604 GOLF COURSE ROAD, GRAND RAPIDS, MN, 55744

Signature of

Role Plan administrator
Date 2022-08-30
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-30
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
GRAND DENTAL CENTER, PLLC EMPLOYEES' PROFIT SHARING PLAN 2020 832816805 2021-04-12 GRAND DENTAL CENTER, PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621210
Sponsor’s telephone number 2183260339
Plan sponsor’s address 1604 GOLF COURSE ROAD, GRAND RAPIDS, MN, 55744

Signature of

Role Plan administrator
Date 2021-04-12
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-12
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
GRAND DENTAL CENTER, PLLC EMPLOYEES' PROFIT SHARING PLAN 2019 832816805 2020-05-22 GRAND DENTAL CENTER, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-01
Business code 621210
Sponsor’s telephone number 2183260339
Plan sponsor’s address 1604 GOLF COURSE ROAD, GRAND RAPIDS, MN, 55744

Signature of

Role Plan administrator
Date 2020-05-22
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing LISA JOHNSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Lisa Lidahl Johnson Manager 1604 GOLF COURSE RD, GRAND RAPIDS, MN 55744–8648, USA

Agent

Name Role
Lisa M.L. Johnson Agent

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2020-05-04
Administrative Termination - Limited Liability Company (Domestic) 2020-02-25
Original Filing - Limited Liability Company (Domestic) (Business Name: Grand Dental Center, PLLC)Professional Service - Dentistry & Dental Hygiene 2018-12-12

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website