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St. Croix Valley Dental, PLLC

Company Details

Name: St. Croix Valley Dental, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 16 Dec 2002 (22 years ago)
Company Number: 09c43ae2-a1d4-e011-a886-001ec94ffe7f
File Number: 36593-LLC
Registered Office Address: 13961 60th Str N, Oak Park Heights, MN 55082, USA
Principal Executive Office Address: 13961 60th Str N, Oak Park Heights, MM 55082, USA
ZIP code: 55082
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. CROIX VALLEY DENTAL, PLLC 401K PLAN 2013 161644641 2014-07-30 ST CROIX VALLEY DENTAL PLLC 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6514392600
Plan sponsor’s address 13961 N 60TH STREET BOX 291, STILLWATER, MN, 55082

Signature of

Role Plan administrator
Date 2014-07-30
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
ST. CROIX VALLEY DENTAL, PLLC 401K PLAN 2013 161644641 2014-07-03 ST CROIX VALLEY DENTAL PLLC 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6514392600
Plan sponsor’s address 13961 N 60TH STREET BOX 291, STILLWATER, MN, 55082

Signature of

Role Plan administrator
Date 2014-07-03
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-03
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
ST. CROIX VALLEY DENTAL, PLLC 401K PLAN 2012 161644641 2013-05-09 ST CROIX VALLEY DENTAL PLLC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6514392600
Plan sponsor’s address 13961 N 60TH STREET BOX 291, STILLWATER, MN, 55082

Signature of

Role Plan administrator
Date 2013-05-09
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-09
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
ST. CROIX VALLEY DENTAL, PLLC 401K PLAN 2011 161644641 2012-06-20 ST CROIX VALLEY DENTAL PLLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6514392600
Plan sponsor’s address 13961 N 60TH STREET BOX 291, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 161644641
Plan administrator’s name ST CROIX VALLEY DENTAL PLLC
Plan administrator’s address 13961 N 60TH STREET BOX 291, STILLWATER, MN, 55082
Administrator’s telephone number 6514392600

Signature of

Role Plan administrator
Date 2012-06-20
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-20
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
ST. CROIX VALLEY DENTAL, PLLC 401K PLAN 2010 161644641 2011-07-20 ST. CROIX VALLEY DENTAL, PLLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6514392600
Plan sponsor’s address 13961 N. 60TH STREET, BOX 291, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 161644641
Plan administrator’s name ST. CROIX VALLEY DENTAL, PLLC
Plan administrator’s address 13961 N. 60TH STREET, BOX 291, STILLWATER, MN, 55082
Administrator’s telephone number 6514392600

Signature of

Role Plan administrator
Date 2011-07-20
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
ST. CROIX VALLEY DENTAL, PLLC 401K PLAN 2009 161644641 2010-10-11 ST. CROIX VALLEY DENTAL, PLLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6514392600
Plan sponsor’s address 13961 N. 60TH STREET, BOX 291, STILLWATER, MN, 55082

Plan administrator’s name and address

Administrator’s EIN 161644641
Plan administrator’s name ST. CROIX VALLEY DENTAL, PLLC
Plan administrator’s address 13961 N. 60TH STREET, BOX 291, STILLWATER, MN, 55082
Administrator’s telephone number 6514392600

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing DOUG WOLFF
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Douglas Wolff Manager 13961 60th Str N, Oak Park Heights, MN 55082, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Notice of Dissolution - Limited Liability Company (Domestic) 2014-12-09
Termination - Limited Liability Company (Domestic) 2014-12-09
Administrative Termination Name Hold Release - Limited Liability Company (Domestic) 2013-08-07
Annual Reinstatement - Limited Liability Company (Domestic) 2007-04-12
Administrative Termination - Limited Liability Company (Domestic) 2005-02-02
Original Filing - Limited Liability Company (Domestic) 2002-12-16
Limited Liability Company (Domestic) Business Name (Business Name: St. Croix Valley Dental, PLLC) 2002-12-16

Date of last update: 10 Oct 2024

Sources: Minnesota's Official State Website