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  5. Jackson-Spah Dental Studio, Inc.

Jackson-Spah Dental Studio, Inc.

Company Details

Name: Jackson-Spah Dental Studio, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 28 Nov 1979 (45 years ago)
Company Number: 1fa019fe-b0d4-e011-a886-001ec94ffe7f
File Number: 3O-201
Registered Office Address: 1150 Osborne Rd, Fridley, MN 55432, USA
Principal Executive Office Address: 1150 Osborne Rd NE, Fridley, MN 55432, USA
ZIP code: 55432
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON-SPAH DENTAL STUDIO INC 401(K) PROFIT SHARING PLAN & TRUST 2021 411364914 2022-04-20 JACKSON-SPAH DENTAL STUDIO INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing GERALD E JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401(K) PROFIT SHARING PLAN & TRUST 2020 411364914 2021-05-06 JACKSON-SPAH DENTAL STUDIO INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2021-05-06
Name of individual signing GERALD E JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401(K) PROFIT SHARING PLAN & TRUST 2019 411364914 2020-06-03 JACKSON-SPAH DENTAL STUDIO INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing GERALD JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401 K PROFIT SHARING PLAN TRUST 2018 411364914 2019-05-21 JACKSON-SPAH DENTAL STUDIO INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing GERALD JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401 K PROFIT SHARING PLAN TRUST 2017 411364914 2018-06-15 JACKSON-SPAH DENTAL STUDIO INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing GERALD JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401 K PROFIT SHARING PLAN TRUST 2016 411364914 2017-06-09 JACKSON-SPAH DENTAL STUDIO INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2017-06-09
Name of individual signing GERALD JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401 K PROFIT SHARING PLAN TRUST 2015 411364914 2016-06-07 JACKSON-SPAH DENTAL STUDIO INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing GERALD JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401 K PROFIT SHARING PLAN TRUST 2014 411364914 2015-05-21 JACKSON-SPAH DENTAL STUDIO INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing GERALD JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401 K PROFIT SHARING PLAN TRUST 2013 411364914 2014-06-10 JACKSON-SPAH DENTAL STUDIO INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing GERALD E JACKSON
Valid signature Filed with authorized/valid electronic signature
JACKSON-SPAH DENTAL STUDIO INC 401 K PROFIT SHARING PLAN TRUST 2012 411364914 2013-07-12 JACKSON-SPAH DENTAL STUDIO INC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 621510
Sponsor’s telephone number 7637852435
Plan sponsor’s address 1150 OSBORNE RD NE, FRIDLEY, MN, 554322836

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing JACKSON-SPAH DENTAL STUDIO INC
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Gerald E. Jackson Chief Executive Officer 1150 Osborne Rd NE, Fridley, MN 55432, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2006-08-24
Administrative Dissolution - Business Corporation (Domestic) 2006-01-17
Business Corporation (Domestic) Business Name (Business Name: Jackson-Spah Dental Studio, Inc.) 1995-09-06
Merger - Business Corporation (Domestic) 1995-08-01
Registered Office and/or Agent - Business Corporation (Domestic) 1987-05-26
Original Filing - Business Corporation (Domestic) 1979-11-28
Business Corporation (Domestic) Business Name (Business Name: Jackson Dental Studio, Inc.) 1979-11-28

Related by officers

No related officers

Related by address

1150 Osborne Rd, Fridley, MN 55432, USA

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Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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