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  5. David A. Katz, D.D.S., P.A.

David A. Katz, D.D.S., P.A.

Company Details

Name: David A. Katz, D.D.S., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 26 Dec 2000 (24 years ago)
Company Number: b35c92ce-aad4-e011-a886-001ec94ffe7f
File Number: 11L-541
Registered Office Address: 2934 Texas Ave S, St Louis Park, MN 55426, USA
Principal Executive Office Address: 2828 IRVING AVENUE SOUTH, MPLS, MN 55408, USA
ZIP code: 55426
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2015 411991299 2016-10-11 DAVID A. KATZ, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2014 411991299 2015-05-27 DAVID A. KATZ, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2015-05-27
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-27
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2013 411991299 2014-09-17 DAVID A. KATZ, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-17
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2012 411991299 2013-07-18 DAVID A. KATZ, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2013-07-18
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2011 411991299 2012-04-20 DAVID A. KATZ, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Plan administrator’s name and address
Administrator’s EIN 411991299
Plan administrator’s name DAVID A. KATZ, D.D.S., P.A.
Plan administrator’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426
Administrator’s telephone number 9529357707

Signature of
Role Plan administrator
Date 2012-04-20
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-20
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2010 411991299 2011-09-07 DAVID A. KATZ, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Plan administrator’s name and address
Administrator’s EIN 411991299
Plan administrator’s name DAVID A. KATZ, D.D.S., P.A.
Plan administrator’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426
Administrator’s telephone number 9529357707

Signature of
Role Plan administrator
Date 2011-09-07
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-07
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2009 411991299 2010-09-22 DAVID A. KATZ, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Plan administrator’s name and address
Administrator’s EIN 411991299
Plan administrator’s name DAVID A. KATZ, D.D.S., P.A.
Plan administrator’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426
Administrator’s telephone number 9529357707

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. KATZ, D.D.S., P.A. CASH BALANCE PLAN 2009 411991299 2010-09-16 DAVID A. KATZ, D.D.S., P.A. 2
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426

Plan administrator’s name and address
Administrator’s EIN 411991299
Plan administrator’s name DAVID A. KATZ, D.D.S., P.A.
Plan administrator’s address 2934 TEXAS AVENUE SOUTH, ST. LOUIS PARK, MN, 55426
Administrator’s telephone number 9529357707

Signature of
Role Plan administrator
Date 2010-09-16
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-16
Name of individual signing DAVID A. KATZ, D.D.S.
Valid signature Filed with incorrect/unrecognized electronic signature

Chief Executive Officer

Name Role Address
David Katz Chief Executive Officer 2828 IRVING AVENUE SOUTH, MPLS, MN 55408, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2020-02-20
Original Filing - Business Corporation (Domestic) (Business Name: David A. Katz, D.D.S., P.A.)Professional Service - Dentistry & Dental Hygiene 2000-12-26

Related by officers

David Katz

Eagan Tower Office Building Partnership Mixtiles USA, Inc.

Related by address

2934 Texas Ave S, St Louis Park, MN 55426, USA

Katz Family Limited Partnership

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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