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  5. Dakota Dental Clinic, P.A.

Dakota Dental Clinic, P.A.

Company Details

Name: Dakota Dental Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Nov 1983 (41 years ago)
Company Number: 0083f5c1-b6d4-e011-a886-001ec94ffe7f
File Number: 4M-1136
Registered Office Address: 14682 Pennock Ave., Apple Valley, MN 55124, USA
Principal Executive Office Address: 14682 PENNOCK AVE, SAINT PAUL, MN 55124–7429, United States
ZIP code: 55124
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2022 411472136 2023-10-11 DAKOTA DENTAL CLINIC, P.A. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 14682 PENNOCK AVE, APPLE VALLEY, MN, 55124
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2021 411472136 2022-07-28 DAKOTA DENTAL CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 14682 PENNOCK AVE, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing DR. BENNETT ISABELLA
Valid signature Filed with authorized/valid electronic signature
DAKOTA DENTAL CLINIC 401K PROFIT SHARING PLAN 2020 411472136 2021-08-16 DAKOTA DENTAL CLINIC, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 9524315774
Plan sponsor’s address 14682 PENNOCK AVE, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2021-08-16
Name of individual signing DR. BENNETT ISABELLA
Valid signature Filed with authorized/valid electronic signature
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2020 411472136 2021-08-16 DAKOTA DENTAL CLINIC, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 14682 PENNOCK AVE, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2021-08-16
Name of individual signing DR. BENNETT ISABELLA
Valid signature Filed with authorized/valid electronic signature
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2019 411472136 2020-10-15 DAKOTA DENTAL CLINIC, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 14682 PENNOCK AVE, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing DR. BENNETT ISABELLA
Valid signature Filed with authorized/valid electronic signature
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2018 411472136 2019-08-21 DAKOTA DENTAL CLINIC, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 14682 PENNOCK AVE, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2019-08-21
Name of individual signing DR. BENNETT ISABELLA
Valid signature Filed with authorized/valid electronic signature
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2017 411472136 2018-05-09 DAKOTA DENTAL CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 1601 HIGHPOINT CURVE, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing SHELLEY WAKEFIELD
Valid signature Filed with authorized/valid electronic signature
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2016 411472136 2017-06-28 DAKOTA DENTAL CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 1601 HIGHPOINT CURVE, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing SHELLEY WAKEFIELD
Valid signature Filed with authorized/valid electronic signature
DAKOTA DENTAL CLINIC CASH BALANCE PLAN 2015 411472136 2016-10-09 DAKOTA DENTAL CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9528914918
Plan sponsor’s address 1601 HIGHPOINT CURVE, BURNSVILLE, MN, 55337

Signature of
Role Plan administrator
Date 2016-10-09
Name of individual signing SHELLEY WAKEFIELD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Bennett Isabella Chief Executive Officer 14682 PENNOCK AVE, SAINT PAUL, MN 55124–7429, United States

Agent

Name Role
Isabella Bennett Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2020-07-07
Annual Reinstatement - Business Corporation (Domestic) 2006-04-07
Administrative Dissolution - Business Corporation (Domestic) 2006-01-17
Registered Office and/or Agent - Business Corporation (Domestic) 1989-01-18
Business Corporation (Domestic) Business Name (Business Name: Dakota Dental Clinic, P.A.) 1985-12-18
Original Filing - Business Corporation (Domestic) 1983-11-30
Business Corporation (Domestic) Business Name (Business Name: Johnson & Nelson, P.A.) 1983-11-30

Related by officers

Bennett Isabella

BITESS L. L. C. 14682 LLC Minnesota Dental Surgery PLLC

Related by address

No related companies by address

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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