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  5. Herman Dental Clinic, P.A.

Herman Dental Clinic, P.A.

Company Details

Name: Herman Dental Clinic, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 23 Jan 2004 (21 years ago)
Company Number: 1c665baa-87d4-e011-a886-001ec94ffe7f
File Number: 761086-2
Registered Office Address: 620 N Hwy 44/76, Caledonia, MN 55921, USA
Principal Executive Office Address: 620 N. HWY 44 & 76, Caledonia, MN 55921–1037, USA
ZIP code: 55921
County: Houston County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERMAN DENTAL CLINIC, P. A. 401(K) PLAN 2023 421615192 2024-07-02 HERMAN DENTAL CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 N. HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P. A. 401(K) PLAN 2022 421615192 2023-04-25 HERMAN DENTAL CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 N. HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2023-04-25
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P. A. 401(K) PLAN 2021 421615192 2022-09-26 HERMAN DENTAL CLINIC, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 N. HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2022-09-26
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P. A. 401(K) PLAN 2020 421615192 2021-07-15 HERMAN DENTAL CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 N. HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P. A. 401(K) PLAN 2016 421615192 2017-01-26 HERMAN DENTAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 NORTH HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2017-01-26
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P.A. 401(K) PLAN 2015 421615192 2016-06-17 HERMAN DENTAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 NORTH HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P.A. 401(K) PLAN 2014 421615192 2015-07-07 HERMAN DENTAL CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 NORTH HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P.A. 401(K) PLAN 2013 421615192 2014-10-06 HERMAN DENTAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 NORTH HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P.A. 401(K) PLAN 2012 421615192 2013-07-23 HERMAN DENTAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 NORTH HWY 44/76, CALEDONIA, MN, 55921

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature
HERMAN DENTAL CLINIC, P.A. 401(K) PLAN 2011 421615192 2012-07-27 HERMAN DENTAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5077253341
Plan sponsor’s address 620 NORTH HWY 44/76, CALEDONIA, MN, 55921

Plan administrator’s name and address
Administrator’s EIN 421615192
Plan administrator’s name HERMAN DENTAL CLINIC, P.A.
Plan administrator’s address 620 NORTH HWY 44/76, CALEDONIA, MN, 55921
Administrator’s telephone number 5077253341

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing SARAH HERMAN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Sarah Herman Chief Executive Officer 620 N. HWY 44/76, Caledonia, MN 55921–1037, USA

Agent

Name Role
Sarah Herman Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2012-03-07
Original Filing - Business Corporation (Domestic) (Business Name: Herman Dental Clinic, P.A.)Professional Service - Dentistry & Dental Hygiene 2004-01-23

Related by officers

Sarah Herman

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Related by address

No related companies by address

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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