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  5. Mount Royal Dental

Mount Royal Dental

Company Details

Name: Mount Royal Dental
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 20 Feb 2014 (11 years ago)
Company Number: f9c11e7b-6b9a-e311-97ba-001ec94ffe7f
File Number: 734868300026
Principal Place of Business Address: 1624 Woodland Avenue, Duluth, MN 55803, USA
ZIP code: 55803
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOUNT ROYAL DENTAL CASH BALANCE PENSION PLAN 2023 461739700 2024-07-15 MOUNT ROYAL DENTAL 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 558032628
MOUNT ROYAL DENTAL 401(K) PLAN 2023 461739700 2024-07-15 MOUNT ROYAL DENTAL 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-02-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 558032628
MOUNT ROYAL DENTAL 401(K) PLAN 2022 461739700 2023-06-22 MOUNT ROYAL DENTAL 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-02-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 558032628
MOUNT ROYAL DENTAL CASH BALANCE PENSION PLAN 2022 461739700 2023-06-22 MOUNT ROYAL DENTAL 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 558032628
MOUNT ROYAL DENTAL CASH BALANCE PENSION PLAN 2021 461739700 2022-07-27 MOUNT ROYAL DENTAL 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 55803
MOUNT ROYAL DENTAL 401(K) PLAN 2021 461739700 2022-05-11 MOUNT ROYAL DENTAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-02-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 55803

Signature of
Role Plan administrator
Date 2022-05-11
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-11
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
MOUNT ROYAL DENTAL 401(K) PLAN 2020 461739700 2021-06-17 MOUNT ROYAL DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-02-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 55803

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
MOUNT ROYAL DENTAL 401(K) PLAN 2019 461739700 2020-06-18 MOUNT ROYAL DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-02-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 55803

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
MOUNT ROYAL DENTAL 401(K) PLAN 2018 461739700 2019-07-30 MOUNT ROYAL DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-02-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 55803

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
MOUNT ROYAL DENTAL 401(K) PLAN 2017 461739700 2018-05-17 MOUNT ROYAL DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-02-01
Business code 621210
Sponsor’s telephone number 2184645222
Plan sponsor’s address 1624 WOODLAND AVE., DULUTH, MN, 55803

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-17
Name of individual signing DAN ZELEN
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Camille Zelen, DDS, P.A. Aplicant 3706 North Ridge Road, Duluth, MN 55804

Filing

Filing Name Filing date
Annual Reinstatement - Assumed Name 2022-11-03
Administrative Expiration - Assumed Name 2016-03-08
Original Filing - Assumed Name (Business Name: Mount Royal Dental ) 2014-02-20

Related by officers

Camille Zelen, DDS, P.A.

OMT Duluth

Related by address

1624 Woodland Avenue, Duluth, MN 55803, USA

OMT Duluth

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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