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North Country Dental, LLC

Company Details

Name: North Country Dental, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 05 Dec 2018 (6 years ago)
Company Number: 99be2c7c-d9f8-e811-9169-00155d0deff0
File Number: 1051851500041
Registered Office Address: 716 14th Street, Cloquet, Minnesota 55720, USA
Principal Executive Office Address: 716 14th Street, Cloquet, MN 55720, USA
ZIP code: 55720
County: Carlton County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH COUNTRY DENTAL RETIREMENT PLAN 2022 411425611 2023-06-12 NORTH COUNTRY DENTAL 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address 1311 BEMIDJI AVE., BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2023-06-12
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL RETIREMENT PLAN 2021 411425611 2022-09-16 NORTH COUNTRY DENTAL 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address PO BOX 1310, BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2022-09-16
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL RETIREMENT PLAN 2020 411425611 2021-06-30 NORTH COUNTRY DENTAL 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address PO BOX 1310, BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2021-06-30
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 832740829 2021-09-16 NORTH COUNTRY DENTAL, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2188795271
Plan sponsor’s address 716 14TH STREET, CLOQUET, MN, 55720

Signature of

Role Plan administrator
Date 2021-09-16
Name of individual signing PAUL BARTLAM
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 832740829 2021-09-28 NORTH COUNTRY DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2188795271
Plan sponsor’s address 716 14TH STREET, CLOQUET, MN, 55720

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing PAUL BARTLAM
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL RETIREMENT PLAN 2019 411425611 2020-07-08 NORTH COUNTRY DENTAL 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address PO BOX 1310, BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2020-07-08
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL RETIREMENT PLAN 2018 411425611 2019-09-24 NORTH COUNTRY DENTAL 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address PO BOX 1310, BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL RETIREMENT PLAN 2017 411425611 2018-07-16 NORTH COUNTRY DENTAL 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address PO BOX 1310, BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL RETIREMENT PLAN 2016 411425611 2017-06-23 NORTH COUNTRY DENTAL 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address PO BOX 1310, BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2017-06-23
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature
NORTH COUNTRY DENTAL RETIREMENT PLAN 2015 411425611 2016-07-19 NORTH COUNTRY DENTAL 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2187511111
Plan sponsor’s address PO BOX 1310, BEMIDJI, MN, 566191310

Signature of

Role Plan administrator
Date 2016-07-19
Name of individual signing CINDY LUETH
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Paul Bartlam Manager 716 14th Street, Cloquet, MN 55720, USA

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2020-04-10
Administrative Termination - Limited Liability Company (Domestic) 2020-02-25
Conversion From General Partnership - Limited Liability Company (Domestic) (Business Name: North Country Dental, LLC)Professional Service - Dentistry & Dental Hygiene 2018-12-05

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website