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Cambridge Orthodontics, PA

Company Details

Name: Cambridge Orthodontics, PA
Jurisdiction: Minnesota
Legal type: Name Reservation
Status: Inactive
Date formed: 28 Sep 2017 (7 years ago)
Company Number: 10ac8044-c1a4-e711-8187-00155d01c6c6
File Number: 969607100020
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMBRIDGE ORTHODONTICS, PA 401(K) PLAN 2011 562425392 2012-06-28 CAMBRIDGE ORTHODONTICS, PA 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2012-06-28
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE ORTHODONTICS, PA 412(I) RETIREMENT PLAN 2011 562425392 2012-06-28 CAMBRIDGE ORTHODONTICS, PA 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2012-06-28
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE ORTHODONTICS, PA 401(K) PLAN 2011 562425392 2012-06-29 CAMBRIDGE ORTHODONTICS, PA 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE ORTHODONTICS, PA 412(I) RETIREMENT PLAN 2011 562425392 2012-06-29 CAMBRIDGE ORTHODONTICS, PA 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE ORTHODONTICS, PA 401(K) PLAN 2010 562425392 2011-10-03 CAMBRIDGE ORTHODONTICS, PA 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE ORTHODONTICS, PA 412(I) RETIREMENT PLAN 2010 562425392 2011-10-03 CAMBRIDGE ORTHODONTICS, PA 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE ORTHODONTICS, PA 401(K) PLAN 2009 562425392 2010-10-07 CAMBRIDGE ORTHODONTICS, PA 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature
CAMBRIDGE ORTHODONTICS, PA 412(I) RETIREMENT PLAN 2009 562425392 2010-10-07 CAMBRIDGE ORTHODONTICS, PA 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7636890165
Plan sponsor’s address P.O. BOX 206, CAMBRIDGE, MN, 55008

Plan administrator’s name and address
Administrator’s EIN 562425392
Plan administrator’s name CAMBRIDGE ORTHODONTICS, PA
Plan administrator’s address P.O. BOX 206, CAMBRIDGE, MN, 55008
Administrator’s telephone number 7636890165

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing BRAD VIDEEN
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Matthew M Sievers Aplicant 140 Birch Street North #106, Cambridge, MN 55008

Filing

Filing Name Filing date
Expired - Name Reservation 2018-10-01
Original Filing - Name Reservation (Business Name: Cambridge Orthodontics, PA) 2017-09-28

Related by officers

Matthew M Sievers

Cambridge Braces Cambridge Orthodontics, P.L.L.C Cambridge Family Ortho Cambridge Ortho Cambridge Orthodontics

Related by address

No related companies by address

Date of last update: 11 Dec 2024

Sources: Minnesota's Official State Website

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