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  5. Lake Area Dental, P.A.

Lake Area Dental, P.A.

Company Details

Name: Lake Area Dental, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 25 Jun 1999 (26 years ago)
Company Number: 0abd9bb1-abd4-e011-a886-001ec94ffe7f
File Number: 10S-853
Registered Office Address: 4801 Hwy 61 #301, White Bear Lake, MN 55110, USA
Principal Executive Office Address: 4801 HIGHWAY 61 N STE 301, WHITE BEAR LAKE, MN 55110–2753, United States
ZIP code: 55110
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE AREA DENTAL, P.A. 401K PLAN 2023 411956971 2024-05-27 LAKE AREA DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2024-05-27
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-27
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2022 411956971 2023-06-18 LAKE AREA DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2023-06-18
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-18
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2021 411956971 2022-06-05 LAKE AREA DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2022-06-05
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-05
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2020 411956971 2021-07-06 LAKE AREA DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2021-07-06
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-06
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2019 411956971 2020-06-16 LAKE AREA DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-16
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2018 411956971 2019-07-07 LAKE AREA DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2019-07-07
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-07
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2017 411956971 2018-06-17 LAKE AREA DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2018-06-17
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-17
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2016 411956971 2017-06-26 LAKE AREA DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-26
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2015 411956971 2016-07-24 LAKE AREA DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2016-07-24
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-24
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
LAKE AREA DENTAL, P.A. 401K PLAN 2014 411956971 2015-06-29 LAKE AREA DENTAL, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6517628474
Plan sponsor’s address 4801 HIGHWAY 61 SUITE 301, WHITE BEAR LAKE, MN, 55110

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-29
Name of individual signing DR. STEPHEN JAKSA
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Stephen W Jaksa Chief Executive Officer 4801 HIGHWAY 61 N STE 301, WHITE BEAR LAKE, MN 55110–2753, usa

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2002-07-05
Original Filing - Business Corporation (Domestic) 1999-06-25
Business Corporation (Domestic) Business Name (Business Name: Lake Area Dental, P.A.) 1999-06-25
Original Filing - Business Corporation (Domestic)Professional Service - Dentistry & Dental Hygiene 1999-06-25

Related by officers

No related officers

Related by address

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Date of last update: 13 Jan 2025

Sources: Minnesota's Official State Website

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