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Main Street Dental

Company Details

Name: Main Street Dental
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 13 Aug 2012 (12 years ago)
Company Number: dc160ce3-57e5-e111-afc0-001ec94ffe7f
File Number: 613405900029
Principal Place of Business Address: 211 10th Ave NE, New Prague, MN 56071, USA
Mailing Address: None Provided, , USA
ZIP code: 56071
County: Le Sueur County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAIN STREET DENTAL RETIREMENT PLAN 2023 411990605 2024-04-10 MAIN STREET DENTAL 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 10TH AVE. NE, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2024-04-10
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN 2022 411990605 2023-05-30 MAIN STREET DENTAL 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 10TH AVE. NE, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2023-05-30
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN 2021 411990605 2022-05-23 MAIN STREET DENTAL 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 10TH AVE. NE, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2022-05-23
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN & TRUST 2020 411990605 2021-05-10 MAIN STREET DENTAL 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 10TH AVE. NE, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2021-05-10
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN & TRUST 2019 411990605 2020-07-15 MAIN STREET DENTAL 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 10TH AVE. NE, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN & TRUST 2018 411990605 2019-06-24 MAIN STREET DENTAL 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 10TH AVE. NE, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2019-06-24
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN & TRUST 2017 411990605 2018-05-29 MAIN STREET DENTAL 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 COUNTY ROAD 37, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2018-05-29
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN & TRUST 2016 411990605 2017-09-15 MAIN STREET DENTAL 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 COUNTY ROAD 37, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2017-09-15
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN & TRUST 2015 411990605 2016-09-20 MAIN STREET DENTAL 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 COUNTY ROAD 37, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2016-09-20
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature
MAIN STREET DENTAL RETIREMENT PLAN & TRUST 2014 411990605 2015-07-16 MAIN STREET DENTAL 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 9527582376
Plan sponsor’s address 211 COUNTY RD. E, NEW PRAGUE, MN, 56071

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing JON COLLING
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Jon Paul Colling Aplicant 211 10th Ave NE, New Prague, MN 56071

Filing

Filing Name Filing date
Amendment - Assumed Name 2019-10-04
Original Filing - Assumed Name (Business Name: Main Street Dental ) 2012-08-13

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website