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Grand Marais Family Dentistry

Company Details

Name: Grand Marais Family Dentistry
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 21 May 2009 (16 years ago)
Company Number: e3bfb00f-94d4-e011-a886-001ec94ffe7f
File Number: 3350473-2
Principal Place of Business Address: 303 E 3rd Str PO Box 670, Grand Marais, MN 55604, USA
ZIP code: 55604
County: Cook County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2023 463464516 2024-07-30 GRAND MARAIS FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 E 3RD ST - 670, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2024-07-30
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2022 463464516 2023-08-14 GRAND MARAIS FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 EAST 3RD STREET - 670, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2023-08-14
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2021 463464516 2022-09-28 GRAND MARAIS FAMILY DENTISTRY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 EAST 3RD STREET, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2022-09-28
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2020 463464516 2021-05-04 GRAND MARAIS FAMILY DENTISTRY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 EAST 3RD STREET, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2021-05-04
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2019 463464516 2020-07-14 GRAND MARAIS FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 EAST 3RD STREET, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2018 463464516 2019-05-15 GRAND MARAIS FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 EAST 3RD STREET, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2019-05-15
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2017 463464516 2018-07-19 GRAND MARAIS FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 EAST 3RD STREET, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2018-07-19
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2016 463464516 2017-05-03 GRAND MARAIS FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 EAST 3RD STREET, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2017-05-03
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature
GRAND MARAIS FAMILY DENTISTRY 401(K) PLAN 2015 463464516 2016-04-19 GRAND MARAIS FAMILY DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183872774
Plan sponsor’s address 303 3RD AVENUE EAST, GRAND MARAIS, MN, 55604

Signature of

Role Plan administrator
Date 2016-04-19
Name of individual signing ALYSSA HEDSTROM
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Alyssa Hedstrom Aplicant 303 E 3rd Str PO Box 670, Grand Marais, MN 55604

Filing

Filing Name Filing date
Expired - Assumed Name 2019-05-22
Original Filing - Assumed Name (Business Name: Grand Marais Family Dentistry) 2009-05-21

Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website