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  5. Dental Depot, LLC

Dental Depot, LLC

Company Details

Name: Dental Depot, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 08 Dec 2014 (10 years ago)
Company Number: c8c79d05-277f-e411-ae63-001ec94ffe7f
File Number: 798195700024
Registered Office Address: 2 East Fifth Street, Moris, MN 56267, USA
Principal Executive Office Address: 2 E 5TH ST, MORRIS, MN 56267–1344, USA
ZIP code: 56267
County: Stevens County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL DEPOT 401K PLAN 2023 472500289 2024-05-07 DENTAL DEPOT, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205892750
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 56267
DENTAL DEPOT 401K PLAN 2022 472500289 2023-05-08 DENTAL DEPOT, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205892750
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 56267
DENTAL DEPOT 401K PLAN 2021 472500289 2022-04-22 DENTAL DEPOT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205892750
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2022-04-22
Name of individual signing KEVIN WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DEPOT 401K PLAN 2020 472500289 2021-03-29 DENTAL DEPOT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205894481
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 562671344

Plan administrator’s name and address
Administrator’s EIN 472500289
Plan administrator’s name DENTAL DEPOT, LLC
Plan administrator’s address 2 E. 5TH STREET, MORRIS, MN, 562671344
Administrator’s telephone number 3205894481

Signature of
Role Plan administrator
Date 2021-03-29
Name of individual signing KEVIN WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DEPOT 401K PLAN 2019 472500289 2020-06-14 DENTAL DEPOT, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205894481
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 562671344

Plan administrator’s name and address
Administrator’s EIN 472500289
Plan administrator’s name DENTAL DEPOT, LLC
Plan administrator’s address 2 E. 5TH STREET, MORRIS, MN, 562671344
Administrator’s telephone number 3205894481

Signature of
Role Plan administrator
Date 2020-06-14
Name of individual signing KEVIN WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DEPOT 401K PLAN 2018 472500289 2019-05-07 DENTAL DEPOT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205894481
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 562671344

Plan administrator’s name and address
Administrator’s EIN 472500289
Plan administrator’s name DENTAL DEPOT, LLC
Plan administrator’s address 2 E. 5TH STREET, MORRIS, MN, 562671344
Administrator’s telephone number 3205894481

Signature of
Role Plan administrator
Date 2019-05-07
Name of individual signing KEVIN WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DEPOT 401K PLAN 2017 472500289 2018-08-16 DENTAL DEPOT, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205894481
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 562671344

Plan administrator’s name and address
Administrator’s EIN 472500289
Plan administrator’s name DENTAL DEPOT, LLC
Plan administrator’s address 2 E. 5TH STREET, MORRIS, MN, 562671344
Administrator’s telephone number 3205894481

Signature of
Role Plan administrator
Date 2018-08-16
Name of individual signing KEVIN WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DEPOT 401K PLAN 2016 472500289 2017-03-10 DENTAL DEPOT, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205894481
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 562671344

Plan administrator’s name and address
Administrator’s EIN 472500289
Plan administrator’s name DENTAL DEPOT, LLC
Plan administrator’s address 2 E. 5TH STREET, MORRIS, MN, 562671344
Administrator’s telephone number 3205894481

Signature of
Role Plan administrator
Date 2017-03-10
Name of individual signing KEVIN WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DEPOT 401K PLAN 2015 201630856 2016-07-12 DENTAL DEPOT 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205894481
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 562671344

Plan administrator’s name and address
Administrator’s EIN 201630856
Plan administrator’s name DENTAL DEPOT
Plan administrator’s address 2 E. 5TH STREET, MORRIS, MN, 562671344
Administrator’s telephone number 3205894481

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing KEVIN WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
DENTAL DEPOT 401K PLAN 2014 201630856 2015-09-22 DENTAL DEPOT 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3205894481
Plan sponsor’s address 2 E. 5TH STREET, MORRIS, MN, 562671344

Plan administrator’s name and address
Administrator’s EIN 201630856
Plan administrator’s name DENTAL DEPOT
Plan administrator’s address 2 E. 5TH STREET, MORRIS, MN, 562671344
Administrator’s telephone number 3205894481

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing J A HAUGER
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
KEVIN WILLIAMSON Manager 2 E 5TH ST, MORRIS, MN 56267–1344, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Dental Depot, LLC)Professional Service - Dentistry & Dental Hygiene 2014-12-08

Related by officers

No related officers

Related by address

2 E 5TH ST, MORRIS, MN 56267–1344, USA

Kevin P. Williamson, D.D.S., P.A. Dental Depot Building, LLC

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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