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  5. John J Keller, D.D.S, P.A.

John J Keller, D.D.S, P.A.

Company Details

Name: John J Keller, D.D.S, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 20 Dec 2006 (18 years ago)
Company Number: a4925fd4-8ed4-e011-a886-001ec94ffe7f
File Number: 2142253-2
Registered Office Address: 14044 Orchid Str NW, Andover, MN 55304, USA
Principal Executive Office Address: 552 E MAIN ST, ANOKA, MN 55303–2529, USA
ZIP code: 55304
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2023 208462093 2024-07-26 JOHN J. KELLER, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing JOHN J. KELLER, DDS
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2022 208462093 2023-07-13 JOHN J. KELLER, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing JOHN J. KELLER, DDS
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2021 208462093 2022-04-28 JOHN J. KELLER, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing JOHN J. KELLER, DDS
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2020 208462093 2021-02-15 JOHN J. KELLER, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2021-02-15
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-15
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2019 208462093 2020-05-19 JOHN J. KELLER, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2020-05-19
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-19
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2018 208462093 2019-07-30 JOHN J. KELLER, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2017 208462093 2018-04-04 JOHN J. KELLER, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2018-04-04
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-04
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2016 208462093 2017-03-01 JOHN J. KELLER, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2017-03-01
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-01
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2015 208462093 2016-07-20 JOHN J. KELLER, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN J. KELLER, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2014 208462093 2015-05-20 JOHN J. KELLER, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621210
Sponsor’s telephone number 7634214550
Plan sponsor’s address 552 EAST MAIN STREET, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-20
Name of individual signing JOHN J. KELLER, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
John Keller Chief Executive Officer 14044 ORCHID ST NW, ANDOVER, MN 55304–7516, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: John J Keller, D.D.S, P.A.)Professional Service - Dentistry & Dental Hygiene 2006-12-20

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Related by address

14044 Orchid Str NW, Andover, MN 55304, USA

Keller Dental Properties, LLC

552 E MAIN ST, ANOKA, MN 55303–2529, USA

Gnath Tech Dental Systems, LLC

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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