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Olson Dental, LLC

Company Details

Name: Olson Dental, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 21 Dec 2006 (18 years ago)
Company Number: 1a945fd4-8ed4-e011-a886-001ec94ffe7f
File Number: 2146166-3
Registered Office Address: 16250 Duluth Ave SE Suite 200, Prior Lake, MN 55372, USA
Principal Executive Office Address: 5305 FROST POINT CIR SE, PRIOR LAKE, MN 55372–1906, USA
ZIP code: 55372
County: Scott County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OLSON DENTAL 401(K) PLAN 2023 364599388 2024-09-06 OLSON DENTAL LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 9524474463
Plan sponsor’s address 5305 FROST POINT CIRCLE SE, PRIOR LAKE, MN, 55372

Signature of

Role Plan administrator
Date 2024-09-06
Name of individual signing CHAD OLSON
Valid signature Filed with authorized/valid electronic signature
OLSON DENTAL, LLC CASH BALANCE PENSION PLAN 2023 364599388 2024-09-19 OLSON DENTAL, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 9524474463
Plan sponsor’s address 5305 FROST POINT CIRCLE SE, PRIOR LAKE, MN, 55372

Signature of

Role Plan administrator
Date 2024-09-19
Name of individual signing CHAD OLSON
Valid signature Filed with authorized/valid electronic signature
OLSON DENTAL 401(K) PLAN 2023 364599388 2024-07-11 OLSON DENTAL LLC 12
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 9524474463
Plan sponsor’s address 5305 FROST POINT CIRCLE SE, PRIOR LAKE, MN, 55372

Signature of

Role Plan administrator
Date 2024-07-11
Name of individual signing CHAD OLSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Chad Olson Manager 5305 FROST POINT CIR SE, PRIOR LAKE, MN 55372–1906, USA

Agent

Name Role
Chad E Olson Agent

Filing

Filing Name Filing date
Amendment - Limited Liability Company (Domestic) 2020-03-17
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Annual Reinstatement - Limited Liability Company (Domestic) 2015-02-03
Administrative Termination Name Hold Release - Limited Liability Company (Domestic) 2014-02-28
Administrative Termination - Limited Liability Company (Domestic) 2013-02-26
Limited Liability Company (Domestic) Other 2011-01-07
Original Filing - Limited Liability Company (Domestic) 2006-12-21
Limited Liability Company (Domestic) Business Name (Business Name: Olson Dental, LLC) 2006-12-21

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website