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Adam F. Curtis, P.A.

Company Details

Name: Adam F. Curtis, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 03 Jan 2014 (11 years ago)
Company Number: da13fa2e-e176-e311-8e3a-001ec94ffe7f
File Number: 724333500020
Registered Office Address: 1596 2nd Ave NE, Cambridge, MN 55008, USA
Principal Executive Office Address: 3261 305th Avenue NE, Cambridge, MN 55008, USA
ZIP code: 55008
County: Isanti County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADAM F. CURTIS, P.A. 401(K) PLAN 2023 464551235 2024-04-30 ADAM F. CURTIS, P.A. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6514709590
Plan sponsor’s address 1596 2ND AVENUE NORTHEAST STE A, CAMBRIDGE, MN, 550088069

Signature of

Role Plan administrator
Date 2024-04-30
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
ADAM F. CURTIS, P.A.. 401(K) PLAN 2022 464551235 2023-06-12 ADAM F. CURTIS, P.A. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6514709590
Plan sponsor’s address 1596 2ND AVE NE STE A, CAMBRIDGE, MN, 55008

Signature of

Role Plan administrator
Date 2023-06-12
Name of individual signing AMANDA ASHIMEK
Valid signature Filed with authorized/valid electronic signature
ADAM F. CURTIS, P.A.. 401(K) PLAN 2021 464551235 2022-09-26 ADAM F. CURTIS, P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6514709590
Plan sponsor’s address 1596 2ND AVE NE STE A, CAMBRIDGE, MN, 55008

Signature of

Role Plan administrator
Date 2022-09-26
Name of individual signing AMANDA ASHIMEK
Valid signature Filed with authorized/valid electronic signature
ADAM F. CURTIS, P.A.. 401(K) PLAN 2020 464551235 2021-06-17 ADAM F. CURTIS, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6514709590
Plan sponsor’s address 1596 2ND AVE NE STE A, CAMBRIDGE, MN, 55008

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing BARBRA CURTIS
Valid signature Filed with authorized/valid electronic signature
ADAM F. CURTIS, P.A.. 401(K) PLAN 2019 464551235 2020-10-13 ADAM F. CURTIS, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6514709590
Plan sponsor’s address 1596 2ND AVE NE STE A, CAMBRIDGE, MN, 55008

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing BARBRA CURTIS
Valid signature Filed with authorized/valid electronic signature
ADAM F. CURTIS, P.A.. 401(K) PLAN 2018 464551235 2019-11-06 ADAM F. CURTIS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6514709590
Plan sponsor’s address 1596 2ND AVE NE STE A, CAMBRIDGE, MN, 55008

Signature of

Role Plan administrator
Date 2019-11-06
Name of individual signing BARBRA CURTIS
Valid signature Filed with authorized/valid electronic signature
ADAM F. CURTIS, P.A.. 401(K) PLAN 2017 464551235 2019-11-06 ADAM F. CURTIS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 6514709590
Plan sponsor’s address 1596 2ND AVE NE STE A, CAMBRIDGE, MN, 55008

Signature of

Role Plan administrator
Date 2019-11-06
Name of individual signing BARBRA CURTIS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Adam Curtis Chief Executive Officer 3261 305th Avenue NE, Cambridge, MN 55008, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2014-12-10
Original Filing - Business Corporation (Domestic) (Business Name: Adam F. Curtis, P.A.)Professional Service - Dentistry & Dental Hygiene 2014-01-03

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website