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  5. Woodbury Dental Laboratory, LLC

Woodbury Dental Laboratory, LLC

Company Details

Name: Woodbury Dental Laboratory, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 27 Aug 2013 (11 years ago)
Company Number: 04dc748e-5d0f-e311-be65-001ec94ffe7f
File Number: 697039100023
Registered Office Address: 1103 WEIR DR STE 100, WOODBURY, MN 55125–1313, USA
ZIP code: 55125
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2023 463650732 2024-08-15 WOODBURY DENTAL LABORATORY, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2024-08-15
Name of individual signing MIKE DOUVIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-15
Name of individual signing MIKE DOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2022 463650732 2023-06-09 WOODBURY DENTAL LABORATORY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2023-06-09
Name of individual signing MICHAEL T DOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2021 463650732 2022-05-23 WOODBURY DENTAL LABORATORY, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing MICHAEL T DOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2020 463650732 2021-06-18 WOODBURY DENTAL LABORATORY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2021-06-18
Name of individual signing MICHAEL T DOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2019 463650732 2020-06-18 WOODBURY DENTAL LABORATORY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing MIKE DOUVIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing MIKE DOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2018 463650732 2019-06-27 WOODBURY DENTAL LABORATORY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2019-06-27
Name of individual signing MICHAELDOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2017 463650732 2018-07-20 WOODBURY DENTAL LABORATORY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing MICHAEL DOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2016 463650732 2017-07-13 WOODBURY DENTAL LABORATORY, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing MICHAEL DOUVIER
Valid signature Filed with authorized/valid electronic signature
WOODBURY DENTAL LABORATORY, LLC 401(K) PLAN 2015 463650732 2016-07-27 WOODBURY DENTAL LABORATORY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6513487848
Plan sponsor’s address 1103 WEIER DRIVE, SUITE 100, WOODBURY, MN, 55125

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing MICHAEL DOUVIER
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Raymond Carlson Manager 1103 WEIR DR STE 100, WOODBURY, MN 55125–1313, USA

Agent

Name Role
Raymond Carlson Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2024-08-15
Amendment - Limited Liability Company (Domestic) 2024-08-15
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Woodbury Dental Laboratory, LLC) 2013-08-27

Related by officers

Raymond Carlson

J.C. COMPUTER SERVICE

Related by address

1103 WEIR DR STE 100, WOODBURY, MN 55125–1313, USA

Douvier Properties L.L.C.

Date of last update: 15 Dec 2024

Sources: Minnesota's Official State Website

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