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Dentistry North, P.A.

Company Details

Name: Dentistry North, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 29 Jun 1972 (53 years ago)
Company Number: 1c73f8ab-a5d4-e011-a886-001ec94ffe7f
File Number: 2D-263
Registered Office Address: 22 W 3rd Ave N, Aurora, MN 55705, USA
ZIP code: 55705
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTISTRY NORTH, P.A. 401(K) PROFIT SHARING PLAN 2014 410988341 2015-09-18 DENTISTRY NORTH, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 2182293341
Plan sponsor’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705
DENTISTRY NORTH, P.A. 401(K) PROFIT SHARING PLAN 2013 410988341 2015-05-04 DENTISTRY NORTH, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 2182293341
Plan sponsor’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705
DENTISTRY NORTH, P.A. 401(K) PROFIT SHARING PLAN 2012 410988341 2013-12-05 DENTISTRY NORTH, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 2182293341
Plan sponsor’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705

Signature of

Role Plan administrator
Date 2013-12-05
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-05
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature
DENTISTRY NORTH, P.A. 401(K) PROFIT SHARING PLAN 2011 410988341 2013-04-15 DENTISTRY NORTH, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 2182293341
Plan sponsor’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705

Plan administrator’s name and address

Administrator’s EIN 410988341
Plan administrator’s name DENTISTRY NORTH, P.A.
Plan administrator’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705
Administrator’s telephone number 2182293341

Signature of

Role Plan administrator
Date 2013-04-15
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-15
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature
DENTISTRY NORTH, P.A. 401(K) PROFIT SHARING PLAN 2010 410988341 2012-01-31 DENTISTRY NORTH, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 2182293341
Plan sponsor’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705

Plan administrator’s name and address

Administrator’s EIN 410988341
Plan administrator’s name DENTISTRY NORTH, P.A.
Plan administrator’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705
Administrator’s telephone number 2182293341

Signature of

Role Plan administrator
Date 2012-01-31
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-01-31
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature
DENTISTRY NORTH, P.A. 401(K) PROFIT SHARING PLAN 2009 410988341 2010-12-06 DENTISTRY NORTH, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621210
Sponsor’s telephone number 2182293341
Plan sponsor’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705

Plan administrator’s name and address

Administrator’s EIN 410988341
Plan administrator’s name DENTISTRY NORTH, P.A.
Plan administrator’s address 22 WEST THIRD AVENUE NORTH, AURORA, MN, 55705
Administrator’s telephone number 2182293341

Signature of

Role Plan administrator
Date 2010-12-06
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-12-06
Name of individual signing MARK BOBACK
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Mark W Boback, DDS Chief Executive Officer 22 W 3rd Ave N, Aurora, MN 55705, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2016-12-02
Intent to Dissolve - Business Corporation (Domestic) 2016-11-29
Business Corporation (Domestic) Active Status Report 1982-05-13
Registered Office and/or Agent - Business Corporation (Domestic) 1982-03-30
Business Corporation (Domestic) Business Name (Business Name: Dentistry North, P.A.) 1981-05-18
Business Corporation (Domestic) Business Name (Business Name: Drs. Anderson, Sarberg, Boback, Ltd.) 1978-08-14
Business Corporation (Domestic) Business Name (Business Name: Drs. Anderson Sarberg, Kalan, Boback, Ltd.) 1976-03-11
Business Corporation (Domestic) Business Name (Business Name: Drs. Anderson, Benassi, Sarberg, Kalan, Ltd.) 1973-08-02
Business Corporation (Domestic) Business Name (Business Name: Drs. Anderson, Benassi, Sarberg, Ltd.) 1972-11-08
Original Filing - Business Corporation (Domestic) 1972-06-29

Date of last update: 29 Nov 2024

Sources: Minnesota's Official State Website