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Grand Rapids Dental Care

Company Details

Name: Grand Rapids Dental Care
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 17 Sep 2020 (4 years ago)
Company Number: 09ce08c3-16f9-ea11-91a2-00155d32b905
File Number: 1178540700053
Principal Place of Business Address: 220 SE 21st Street, Grand Rapids, MN 55744, USA
ZIP code: 55744
County: Itasca County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAND RAPIDS DENTAL CARE RETIREMENT 2023 810933814 2024-10-10 GRAND RAPIDS DENTAL CARE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268
GRAND RAPIDS DENTAL CARE RETIREMENT 2022 810933814 2023-07-27 GRAND RAPIDS DENTAL CARE 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268
GRAND RAPIDS DENTAL CARE RETIREMENT 2021 810933814 2022-10-12 GRAND RAPIDS DENTAL CARE 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268
GRAND RAPIDS DENTAL CARE RETIREMENT 2020 810933814 2021-10-13 GRAND RAPIDS DENTAL CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268
GRAND RAPIDS DENTAL CARE RETIREMENT 2019 810933814 2020-07-23 GRAND RAPIDS DENTAL CARE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268
GRAND RAPIDS DENTAL CARE RETIREMENT 2018 810933814 2019-10-15 GRAND RAPIDS DENTAL CARE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing TIMOTHY FLANNERY
Valid signature Filed with authorized/valid electronic signature
GRAND RAPIDS DENTAL CARE RETIREMENT 2017 810933814 2018-07-23 GRAND RAPIDS DENTAL CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268
GRAND RAPIDS DENTAL CARE RETIREMENT 2016 810933814 2017-06-06 GRAND RAPIDS DENTAL CARE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2183263438
Plan sponsor’s address 220 SE 21ST STREET, GRAND RAPIDS, MN, 557444268

Aplicant

Name Role Address
Northwoods Dentistry, PLLC Aplicant 220 SE 21st Street, Grand Rapids, MN 55744

Filing

Filing Name Filing date
Annual Reinstatement - Assumed Name 2024-01-04
Administrative Expiration - Assumed Name 2022-01-28
Original Filing - Assumed Name (Business Name: Grand Rapids Dental Care) 2020-09-17

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website