| Name: | Gary L. Bergh D.D.S., P.A. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Inactive |
| Date formed: | 14 Apr 1997 (28 years ago) |
| Company Number: | 1b5fb68e-acd4-e011-a886-001ec94ffe7f |
| File Number: | 9P-921 |
| Registered Office Address: | 7555 Cloman Way E, Inver Grove Heights, MN 55076, USA |
| ZIP code: | 55076 |
| County: | Dakota County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY L. BERGH, D.D.S., P.A. 401K PLAN | 2012 | 411872317 | 2013-01-25 | GARY L. BERGH, D.D.S., P.A. | 5 | |||||||||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-01-25 |
| Name of individual signing | GARY L. BERGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-01-25 |
| Name of individual signing | GARY L. BERGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6514552644 |
| Plan sponsor’s address | 7555 CLOMAN WAY E, INVER GROVE HEIGHTS, MN, 55076 |
Plan administrator’s name and address
| Administrator’s EIN | 411872317 |
| Plan administrator’s name | GARY L. BERGH, D.D.S., P.A. |
| Plan administrator’s address | 7555 CLOMAN WAY E, INVER GROVE HEIGHTS, MN, 55076 |
| Administrator’s telephone number | 6514552644 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-09 |
| Name of individual signing | GARY L. BERGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-04-09 |
| Name of individual signing | GARY L. BERGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6514552644 |
| Plan sponsor’s address | 7555 CLOMAN WAY E, INVER GROVE HEIGHTS, MN, 55076 |
Plan administrator’s name and address
| Administrator’s EIN | 411872317 |
| Plan administrator’s name | GARY L. BERGH, D.D.S., P.A. |
| Plan administrator’s address | 7555 CLOMAN WAY E, INVER GROVE HEIGHTS, MN, 55076 |
| Administrator’s telephone number | 6514552644 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-12 |
| Name of individual signing | GARY L. BERGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-05-12 |
| Name of individual signing | GARY L. BERGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Gary L Bergh | Chief Executive Officer | 3719 S Hills Ln, Eagan, MN 55123, USA |
| Filing Name | Filing date |
|---|---|
| Intent to Dissolve - Business Corporation (Domestic) | 2014-12-31 |
| Dissolution - Business Corporation (Domestic) | 2014-12-31 |
| Original Filing - Business Corporation (Domestic) (Business Name: Gary L. Bergh D.D.S., P.A.)Professional Service - Dentistry & Dental Hygiene | 1997-04-14 |
Date of last update: 25 Sep 2024
Sources: Minnesota's Official State Website
