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  5. Blooming Prairie Dental Center

Blooming Prairie Dental Center

Company Details

Name: Blooming Prairie Dental Center
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 03 Dec 1991 (33 years ago)
Company Number: df815913-9bd4-e011-a886-001ec94ffe7f
File Number: 110711
Principal Place of Business Address: 132 2nd Ave NE, Blooming Prairie, MN 55917, USA
ZIP code: 55917
County: Steele County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLOOMING PRAIRIE DENTAL CENTER 401K PLAN 2014 411729171 2015-08-06 BLOOMING PRAIRIE DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5075836613
Plan sponsor’s address 132 NE 2ND AVENUE, BLOOMING PRAIRIE, MN, 55917
BLOOMING PRAIRIE DENTAL CENTER 401K PLAN 2014 411729171 2015-06-20 BLOOMING PRAIRIE DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5075836613
Plan sponsor’s address 132 NE 2ND AVE, BLOOMING PRAIRIE, MN, 55917

Plan administrator’s name and address
Administrator’s EIN 411729171
Plan administrator’s name BLOOMING PRAIRIE DENTAL CENTER
Plan administrator’s address 132 NE 2ND AVE, BLOOMING PRAIRIE, MN, 55917
Administrator’s telephone number 5075836613

Signature of
Role Plan administrator
Date 2015-06-20
Name of individual signing JEFFREY A. SCHWERT
Valid signature Filed with authorized/valid electronic signature
BLOOMING PRAIRIE DENTAL CENTER 401K PLAN 2013 411729171 2014-05-27 BLOOMING PRAIRIE DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5075836613
Plan sponsor’s address 132 NE 2ND AVE, BLOOMING PRAIRIE, MN, 55917

Plan administrator’s name and address
Administrator’s EIN 411729171
Plan administrator’s name BLOOMING PRAIRIE DENTAL CENTER
Plan administrator’s address 132 NE 2ND AVE, BLOOMING PRAIRIE, MN, 55917
Administrator’s telephone number 5075836613

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing JEFFREY A. SCHWERT
Valid signature Filed with authorized/valid electronic signature
BLOOMING PRAIRIE DENTAL CENTER 401K PLAN 2012 411729171 2013-07-15 BLOOMING PRAIRIE DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5075836613
Plan sponsor’s address 132 NE 2ND AVE, BLOOMING PRAIRIE, MN, 55917

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing JEFFREY A. SCHWERT
Valid signature Filed with authorized/valid electronic signature
BLOOMING PRAIRIE DENTAL CENTER 401K PLAN 2011 411729171 2012-07-13 BLOOMING PRAIRIE DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5075836613
Plan sponsor’s address 132 NE 2ND AVE, BLOOMING PRAIRIE, MN, 55917

Plan administrator’s name and address
Administrator’s EIN 411729171
Plan administrator’s name BLOOMING PRAIRIE DENTAL CENTER
Plan administrator’s address 132 NE 2ND AVE, BLOOMING PRAIRIE, MN, 55917
Administrator’s telephone number 5075836613

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing JEFFREY A SCHWERT
Valid signature Filed with authorized/valid electronic signature
BLOOMING PRAIRIE DENTAL CENTER 401K PLAN 2009 411729171 2010-10-14 BLOOMING PRAIRIE DENTAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5075836613
Plan sponsor’s mailing address PO BOX 667, BLOOMING PRAIRIE, MN, 55917
Plan sponsor’s address 132 NE 2ND AVENUE, BLOOMING PRAIRIE, MN, 55917

Plan administrator’s name and address
Administrator’s EIN 411729171
Plan administrator’s name BLOOMING PRAIRIE DENTAL CENTER
Plan administrator’s address PO BOX 667, BLOOMING PRAIRIE, MN, 55917
Administrator’s telephone number 5075836613

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2010-08-13
Name of individual signing JEFFREY A SCHWERT
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Jeffrey A Schwert Aplicant 5431 Ridgeway Rd NW, Rochester, MN 55901

Filing

Filing Name Filing date
Assumed Name Nameholder 2011-06-15
Assumed Name Renewal 2001-06-05
Original Filing - Assumed Name 1991-12-03
Assumed Name Business Name (Business Name: Blooming Prairie Dental Center) 1991-12-03

Related by officers

No related officers

Related by address

132 2nd Ave NE, Blooming Prairie, MN 55917, USA

Blooming Prairie Dental Group, P.A.

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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