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  5. Jensen & Jensen, D.D.S., P.A.

Jensen & Jensen, D.D.S., P.A.

Company Details

Name: Jensen & Jensen, D.D.S., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 29 Nov 1976 (48 years ago)
Company Number: 87dd47d6-a1d4-e011-a886-001ec94ffe7f
File Number: 2W-732
Registered Office Address: 2480 White Bear Ave, Maplewood, MN 55109, USA
ZIP code: 55109
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2018 411287336 2019-10-07 JENSEN & JENSEN, D.D.S., P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 99 DELLWOOD AVENUE, DELLWOOD, MN, 551100000

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-07
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2017 411287336 2019-03-04 JENSEN & JENSEN, D.D.S., P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of
Role Plan administrator
Date 2019-03-04
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-04
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2016 411287336 2018-03-27 JENSEN & JENSEN, D.D.S., P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 551090000

Signature of
Role Plan administrator
Date 2018-03-27
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-27
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2015 411287336 2017-03-30 JENSEN & JENSEN, D.D.S., P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 551090000

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-30
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2014 411287336 2017-03-30 JENSEN & JENSEN, D.D.S., P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 551090000

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-30
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2014 411287336 2016-01-14 JENSEN & JENSEN, D.D.S., P.A. 26
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 551090000

Signature of
Role Plan administrator
Date 2016-01-14
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-01-14
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2013 411287336 2015-02-05 JENSEN & JENSEN, D.D.S., P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of
Role Plan administrator
Date 2015-02-05
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-05
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2012 411287336 2014-06-24 JENSEN & JENSEN, D.D.S., P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-24
Name of individual signing ROBERT JENSEN
Valid signature Filed with incorrect/unrecognized electronic signature
JENSEN & JENSEN DDS PA EMPLOYEES PROFIT SHARING PLAN 2010 411287336 2012-02-27 JENSEN & JENSEN, D.D.S., P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-12-01
Business code 621210
Sponsor’s telephone number 6517703014
Plan sponsor’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109

Plan administrator’s name and address
Administrator’s EIN 411287336
Plan administrator’s name JENSEN & JENSEN, D.D.S., P.A.
Plan administrator’s address 2480 WHITE BEAR AVENUE, MAPLEWOOD, MN, 55109
Administrator’s telephone number 6517703014

Signature of
Role Plan administrator
Date 2012-02-25
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-25
Name of individual signing ROBERT JENSEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jane Jensen Chief Executive Officer 2480 White Bear Ave, Maplewood, MN 55109, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2019-12-28
Intent to Dissolve - Business Corporation (Domestic) 2019-12-28
Amendment - Business Corporation (Domestic)Restated Articles 2013-10-25
Annual Reinstatement - Business Corporation (Domestic) 2013-06-10
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Business Corporation (Domestic) Business Name (Business Name: Jensen & Jensen, D.D.S., P.A.) 1994-05-04
Registered Office and/or Agent - Business Corporation (Domestic) 1990-01-18
Business Corporation (Domestic) Active Status Report 1981-05-15
Original Filing - Business Corporation (Domestic) 1976-11-29
Business Corporation (Domestic) Business Name (Business Name: Robert L. Jensen, D.D.S., P.A.) 1976-11-29

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Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website

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