| Name: | Apollo Dental Center |
| Jurisdiction: | Minnesota |
| Legal type: | Assumed Name |
| Status: | Active / In Good Standing |
| Date formed: | 30 Aug 2022 (2 years ago) |
| Company Number: | c8da3e92-bb28-ed11-9062-00155d01c614 |
| File Number: | 1330397800028 |
| Principal Place of Business Address: | 3000 43rd Street NW, Rochester, MN 55901, USA |
| ZIP code: | 55901 |
| County: | Olmsted County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APOLLO DENTAL CENTER 401(K) PLAN | 2021 | 202002226 | 2022-04-08 | APOLLO DENTAL CENTER | 44 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2022-04-07 |
| Name of individual signing | LOIS BERSCHEID-BRUNN, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-04-07 |
| Name of individual signing | LOIS BERSCHEID-BRUNN, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD STREET NW, ROCHESTER, MN, 55901 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-30 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-04-30 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD STREET NW, ROCHESTER, MN, 55901 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-08 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-06-08 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD STREET NW, ROCHESTER, MN, 55901 |
Signature of
| Role | Plan administrator |
| Date | 2019-04-18 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-04-18 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD ST NW, ROCHESTER, MN, 559010000 |
Signature of
| Role | Plan administrator |
| Date | 2018-09-10 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD ST NW, ROCHESTER, MN, 559010000 |
Signature of
| Role | Plan administrator |
| Date | 2017-09-18 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD STREET NW, ROCHESTER, MN, 55901 |
Signature of
| Role | Plan administrator |
| Date | 2016-08-26 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD STREET NW, ROCHESTER, MN, 55901 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-22 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072878320 |
| Plan sponsor’s address | 3000 43RD STREET NW, ROCHESTER, MN, 55901 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-11 |
| Name of individual signing | LOIS BERSCHEID-BRUNN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PDG, P.A. | Aplicant | 2200 County Road C West, Suite 2210, Roseville, MN 55113 |
| Filing Name | Filing date |
|---|---|
| Original Filing - Assumed Name (Business Name: Apollo Dental Center) | 2022-08-30 |
Date of last update: 30 Sep 2024
Sources: Minnesota's Official State Website
