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Matthiae Dental Clinic, Inc.

Company Details

Name: Matthiae Dental Clinic, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 24 Jul 2000 (25 years ago)
Company Number: 21a23fa4-a3d4-e011-a886-001ec94ffe7f
File Number: 11G-526
Registered Office Address: 206 SE 1st Str, Wadena, MN 56482, USA
Principal Executive Office Address: 38937-640TH AVENUE, WADENA, MN 56482, USA
ZIP code: 56482
County: Wadena County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MATTHIAE DENTAL CLINIC, INC. DEFINED BENEFIT PLAN AND TRUST 2010 411979422 2011-03-14 MATTHIAE DENTAL CLINIC, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2186311487
Plan sponsor’s address 38937 640TH AVENUE, WADENA, MN, 56482

Plan administrator’s name and address

Administrator’s EIN 411979422
Plan administrator’s name MATTHIAE DENTAL CLINIC, INC.
Plan administrator’s address 38937 640TH AVENUE, WADENA, MN, 56482
Administrator’s telephone number 2186311487

Signature of

Role Plan administrator
Date 2011-03-11
Name of individual signing LARRY BUTCHER
Valid signature Filed with authorized/valid electronic signature
MATTHIAE DENTAL CLINIC, INC. DEFINED BENEFIT PLAN AND TRUST 2009 411979422 2010-10-05 MATTHIAE DENTAL CLINIC, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2186311487
Plan sponsor’s address 206 FIRST STREET SE, WADENA, MN, 56482

Plan administrator’s name and address

Administrator’s EIN 411979422
Plan administrator’s name MATTHIAE DENTAL CLINIC, INC.
Plan administrator’s address 206 FIRST STREET SE, WADENA, MN, 56482
Administrator’s telephone number 2186311487

Signature of

Role Plan administrator
Date 2010-10-05
Name of individual signing LARRY BUTCHER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
JAMES H MATTHIAE Chief Executive Officer 33079 MOOSE DRIVE, OTTERTAIL, MN 56571, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Original Filing - Business Corporation (Domestic) (Business Name: Matthiae Dental Clinic, Inc.) 2000-07-24

Date of last update: 01 Dec 2024

Sources: Minnesota's Official State Website