Search icon

Walnut Street Dental Associates

Company Details

Name: Walnut Street Dental Associates
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 13 Nov 1990 (34 years ago)
Company Number: 8e0317f6-aed4-e011-a886-001ec94ffe7f
File Number: 98499
Principal Place of Business Address: 120 Walnut Str, Winona, MN 55987, USA
ZIP code: 55987
County: Winona County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2017 411721762 2018-07-30 WALNUT STREET DENTAL ASSOCIATES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074548584
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2016 411721762 2017-07-31 WALNUT STREET DENTAL ASSOCIATES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074548584
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2015 411721762 2016-07-28 WALNUT STREET DENTAL ASSOCIATES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074548584
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2016-07-28
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401K PLAN 2014 411721762 2015-07-14 WALNUT STREET DENTAL ASSOCIATES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074548584
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2013 411721762 2014-07-18 WALNUT STREET DENTAL ASSOCIATES 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074548584
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 55987

Signature of

Role Plan administrator
Date 2014-07-18
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2012 411721762 2013-10-01 WALNUT STREET DENTAL ASSOCIATES 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074545854
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 559873429

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2011 411721762 2012-07-26 WALNUT STREET DENTAL ASSOCIATES 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074545854
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 559873429

Plan administrator’s name and address

Administrator’s EIN 411721762
Plan administrator’s name WALNUT STREET DENTAL ASSOCIATES
Plan administrator’s address 120 WALNUT STREET, WINONA, MN, 559873429
Administrator’s telephone number 5074545854

Signature of

Role Plan administrator
Date 2012-07-26
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2010 411721762 2011-07-27 WALNUT STREET DENTAL ASSOCIATES 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074545854
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 559873429

Plan administrator’s name and address

Administrator’s EIN 411721762
Plan administrator’s name WALNUT STREET DENTAL ASSOCIATES
Plan administrator’s address 120 WALNUT STREET, WINONA, MN, 559873429
Administrator’s telephone number 5074545854

Signature of

Role Plan administrator
Date 2011-07-27
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
WALNUT STREET DENTAL SAFE HARBOR 401(K) PLAN 2009 411721762 2010-09-13 WALNUT STREET DENTAL ASSOCIATES 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5074545854
Plan sponsor’s address 120 WALNUT STREET, WINONA, MN, 559873429

Plan administrator’s name and address

Administrator’s EIN 411721762
Plan administrator’s name WALNUT STREET DENTAL ASSOCIATES
Plan administrator’s address 120 WALNUT STREET, WINONA, MN, 559873429
Administrator’s telephone number 5074545854

Signature of

Role Plan administrator
Date 2010-09-13
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-13
Name of individual signing BRADLEY J. BULLARD
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Alicia A Bullard, DDS Aplicant 120 Walnut, Winona, MN 55987
Bradley J Bullard, DDS Aplicant 120 Walnut, Winona, MN 55987

Filing

Filing Name Filing date
Consent to Use of Name - Assumed Name 2001-10-18
Assumed Name Nameholder 2000-05-03
Assumed Name Renewal 2000-05-03
Original Filing - Assumed Name 1990-11-13
Assumed Name Business Name (Business Name: Walnut Street Dental Associates) 1990-11-13

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website