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  5. Minnesota Periodontal Associates, P. A.

Minnesota Periodontal Associates, P. A.

Company Details

Name: Minnesota Periodontal Associates, P. A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Nov 2016 (8 years ago)
Company Number: f24b41af-31b7-e611-8167-00155d46d26e
File Number: 917839900026
Registered Office Address: 4801 Highway 61 North, Suite 300, White Bear Lake, MN 55110, USA
ZIP code: 55110
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MINNESOTA PERIODONTAL ASSOCIATES, P.A. 401(K) PLAN 2023 814587852 2024-02-14 MINNESOTA PERIODONTAL ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621210
Sponsor’s telephone number 6517242611
Plan sponsor’s address 4801 HWY 61 #300, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2024-02-14
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-14
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
MINNESOTA PERIODONTAL ASSOCIATES, P.A. 401(K) PLAN 2022 814587852 2023-02-21 MINNESOTA PERIODONTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621210
Sponsor’s telephone number 6517242611
Plan sponsor’s address 4801 HWY 61 #300, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2023-02-21
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-21
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
MINNESOTA PERIODONTAL ASSOCIATES, P.A. 401(K) PLAN 2021 814587852 2022-03-21 MINNESOTA PERIODONTAL ASSOCIATES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621210
Sponsor’s telephone number 6517242611
Plan sponsor’s address 4801 HWY 61 #300, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2022-03-21
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-21
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
MINNESOTA PERIODONTAL ASSOCIATES, P.A. 401(K) PLAN 2020 814587852 2021-03-09 MINNESOTA PERIODONTAL ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621210
Sponsor’s telephone number 6517242611
Plan sponsor’s address 4801 HWY 61 #300, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2021-03-09
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-09
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
MINNESOTA PERIODONTAL ASSOCIATES, P.A. 401(K) PLAN 2019 814587852 2020-06-30 MINNESOTA PERIODONTAL ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621210
Sponsor’s telephone number 6517242611
Plan sponsor’s address 4801 HWY 61 #300, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-30
Name of individual signing CONNIE LEE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Connie Lee Chief Executive Officer 4801 Highway 61 North, Suite 300, White Bear Lake, MN 55110, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Minnesota Periodontal Associates, P. A.)Professional Service - Dentistry & Dental Hygiene 2016-11-30

Related by officers

Connie Lee

Daddy's Den, LLC 5567 Imhoff Avenue S.W., LLC 1113 5th Avenue, LLC Steven Lee Farms, Inc. 1220 6th Street, LLC

Related by address

No related companies by address

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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