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  5. Lake Minnetonka Orthodontics

Lake Minnetonka Orthodontics

Company Details

Name: Lake Minnetonka Orthodontics
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 12 Jun 2000 (25 years ago)
Company Number: 000414a5-a4d4-e011-a886-001ec94ffe7f
File Number: 237993
Principal Place of Business Address: 11601 Minnetonka Mills Rd, Mtka, MN 55305, USA
ZIP code: 55305
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2015 411492052 2016-07-08 LAKE MINNETONKA ORTHODONTICS 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing HEIDI SALESKA
Valid signature Filed with authorized/valid electronic signature
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2014 411492052 2015-07-21 LAKE MINNETONKA ORTHODONTICS 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing DAWN J RENNER
Valid signature Filed with authorized/valid electronic signature
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2013 411492052 2014-09-19 LAKE MINNETONKA ORTHODONTICS 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2014-09-19
Name of individual signing DAWN RENNER
Valid signature Filed with authorized/valid electronic signature
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2012 411492052 2013-10-08 LAKE MINNETONKA ORTHODONTICS 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing STEVE NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing STEVE NELSON
Valid signature Filed with authorized/valid electronic signature
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2011 411492052 2012-07-31 LAKE MINNETONKA ORTHODONTICS 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Plan administrator’s name and address
Administrator’s EIN 411492052
Plan administrator’s name LAKE MINNETONKA ORTHODONTICS
Plan administrator’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305
Administrator’s telephone number 9529381443

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing STEPHEN R NELSON
Valid signature Filed with authorized/valid electronic signature
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2010 411492052 2011-10-13 LAKE MINNETONKA ORTHODONTICS 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Plan administrator’s name and address
Administrator’s EIN 411492052
Plan administrator’s name LAKE MINNETONKA ORTHODONTICS
Plan administrator’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305
Administrator’s telephone number 9529381443

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DR STEPHEN NELSON
Valid signature Filed with authorized/valid electronic signature
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2009 411492052 2010-08-30 LAKE MINNETONKA ORTHODONTICS 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Plan administrator’s name and address
Administrator’s EIN 411492052
Plan administrator’s name LAKE MINNETONKA ORTHODONTICS
Plan administrator’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305
Administrator’s telephone number 9529381443

Signature of
Role Plan administrator
Date 2010-08-30
Name of individual signing DAWN J RENNER CPA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-30
Name of individual signing STEPHEN R NELSON, DDS
Valid signature Filed with authorized/valid electronic signature
LAKE MINNETONKA ORTHODONTICS 401(K) PROFIT SHARING PLAN 2009 411492052 2010-08-05 LAKE MINNETONKA ORTHODONTICS 38
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 9529381443
Plan sponsor’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305

Plan administrator’s name and address
Administrator’s EIN 411492052
Plan administrator’s name LAKE MINNETONKA ORTHODONTICS
Plan administrator’s address 11601 MINNETONKA MILLS ROAD, MINNETONKA, MN, 55305
Administrator’s telephone number 9529381443

Signature of
Role Plan administrator
Date 2010-08-05
Name of individual signing DAWN J RENNER CPA
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Drs Jolstad & Nelson, Ortho Aplicant 11601 Minnetonka Mills Rd, Mtka, MN 55305

Filing

Filing Name Filing date
Expired - Assumed Name 2020-06-15
Assumed Name Renewal 2010-04-01
Original Filing - Assumed Name 2000-06-12
Assumed Name Business Name (Business Name: Lake Minnetonka Orthodontics) 2000-06-12

Related by officers

No related officers

Related by address

11601 Minnetonka Mills Rd, Mtka, MN 55305, USA

Dahl's Dental Studio, Inc. CAMILLE, INC. ROBERT W. FARISH, D.D.S., P.A. PROPERTY MANAGEMENT GROUP INC Tonka Smiles Stephen H. Sands, D.D.S., P.A. Minnesota Center for Occlusal Research and Education - "Minnesota CORE"

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website

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