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  5. Calhoun Dental, Ltd.

Calhoun Dental, Ltd.

Company Details

Name: Calhoun Dental, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 17 Dec 1996 (28 years ago)
Company Number: 1cbe1a85-9dd4-e011-a886-001ec94ffe7f
File Number: 9L-248
Registered Office Address: 3262 W Lake Str, Mpls, MN 55416, USA
Principal Executive Office Address: 3262 W LAKE ST, MINNEAPOLIS, MN 55416–4512, USA
ZIP code: 55416
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CALHOUN DENTAL, LTD. 401(K) PROFIT SHARING PLAN 2023 411860170 2024-09-23 CALHOUN DENTAL, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL CASH BALANCE PLAN 2023 411860170 2024-09-23 CALHOUN DENTAL, LTD. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL CASH BALANCE PLAN 2022 411860170 2023-09-21 CALHOUN DENTAL, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2023-09-21
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-21
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL, LTD. 401(K) PROFIT SHARING PLAN 2022 411860170 2023-09-21 CALHOUN DENTAL, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2023-09-21
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-21
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL CASH BALANCE PLAN 2021 411860170 2022-09-22 CALHOUN DENTAL, LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-22
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL, LTD. 401(K) PROFIT SHARING PLAN 2021 411860170 2022-09-22 CALHOUN DENTAL, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-22
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL CASH BALANCE PLAN 2020 411860170 2021-05-28 CALHOUN DENTAL, LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-28
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL, LTD. 401(K) PROFIT SHARING PLAN 2020 411860170 2021-05-28 CALHOUN DENTAL, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-28
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL CASH BALANCE PLAN 2019 411860170 2020-09-09 CALHOUN DENTAL, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
CALHOUN DENTAL, LTD. 401(K) PROFIT SHARING PLAN 2019 411860170 2020-09-09 CALHOUN DENTAL, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 6129256010
Plan sponsor’s address 3262 WEST LAKE STREET, MINNEAPOLIS, MN, 55416

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing THOMAS CORNELISSEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Thomas Cornelissen Chief Executive Officer 3262 W LAKE ST, MINNEAPOLIS, MN 55416–4512, USA

Filing

Filing Name Filing date
Administrative Dissolution Name Hold Release - Business Corporation (Domestic) 2013-08-06
Annual Reinstatement - Business Corporation (Domestic) 2008-03-25
Administrative Dissolution - Business Corporation (Domestic) 2006-01-17
Original Filing - Business Corporation (Domestic) 1996-12-17
Business Corporation (Domestic) Business Name (Business Name: Calhoun Dental, Ltd.) 1996-12-17
Original Filing - Business Corporation (Domestic)Professional Service - Dentistry & Dental Hygiene 1996-12-17

Related by officers

Thomas Cornelissen

Calhoun Dental Calhoun Dental Calhoun Dentistry

Related by address

3262 W LAKE ST, MINNEAPOLIS, MN 55416–4512, USA

Wolfe Dental PLLC

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website

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