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  5. Northstar Dental Clinic, P.A.

Northstar Dental Clinic, P.A.

Company Details

Name: Northstar Dental Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 01 May 1997 (28 years ago)
Company Number: 13ae4521-aad4-e011-a886-001ec94ffe7f
File Number: 9Q-567
Registered Office Address: 675 Nicollet Blvd E #120, Burnsville, MN 55337, USA
Principal Executive Office Address: 675 Nicollet Blvd East Suite 120, Burnsville, MN 55337, USA
ZIP code: 55337
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHSTAR DENTAL 401K PLAN 2011 411874429 2012-10-16 NORTHSTAR DENTAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9528927700
Plan sponsor’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411874429
Plan administrator’s name NORTHSTAR DENTAL CLINIC, P.A.
Plan administrator’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337
Administrator’s telephone number 9528927700

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing PAMELA ANDERSON
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR DENTAL 401K PLAN 2011 411874429 2012-07-31 NORTHSTAR DENTAL CLINIC, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9528927700
Plan sponsor’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411874429
Plan administrator’s name NORTHSTAR DENTAL CLINIC, P.A.
Plan administrator’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337
Administrator’s telephone number 9528927700

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing PAMELA ANDERSON
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR DENTAL 401K PLAN 2010 411874429 2011-05-12 NORTHSTAR DENTAL CLINIC, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9528927700
Plan sponsor’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411874429
Plan administrator’s name NORTHSTAR DENTAL CLINIC, P.A.
Plan administrator’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337
Administrator’s telephone number 9528927700

Signature of
Role Plan administrator
Date 2011-05-12
Name of individual signing MICHAEL NANNE DDS
Valid signature Filed with authorized/valid electronic signature
NORTHSTAR DENTAL 401K PLAN 2009 411874429 2010-06-07 NORTHSTAR DENTAL CLINIC, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9528927700
Plan sponsor’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411874429
Plan administrator’s name NORTHSTAR DENTAL CLINIC, P.A.
Plan administrator’s address 675 NICOLLET BLVD E STE 120, BURNSVILLE, MN, 55337
Administrator’s telephone number 9528927700

Signature of
Role Plan administrator
Date 2010-06-07
Name of individual signing MICHAEL NANNE DDS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Michael S Nanne DDS Chief Executive Officer 675 Nicollet Blvd East Suite 120, Burnsville, MN 55337, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2014-04-16
Consent to Use of Name - Business Corporation (Domestic) 2011-10-03
Registered Office and/or Agent - Business Corporation (Domestic) 2007-04-16
Original Filing - Business Corporation (Domestic) 1997-05-01
Business Corporation (Domestic) Business Name (Business Name: Northstar Dental Clinic, P.A.) 1997-05-01

Related by officers

No related officers

Related by address

675 Nicollet Blvd E #120, Burnsville, MN 55337, USA

Northstar Dental Clinic

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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