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  5. Woodgrove Dental P.A.

Woodgrove Dental P.A.

Company Details

Name: Woodgrove Dental P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 04 Jan 1973 (52 years ago)
Company Number: 22c9ab55-afd4-e011-a886-001ec94ffe7f
File Number: 2F-338
Registered Office Address: 1789 Woodlane Drv, Woodbury, MN 55125, USA
Principal Executive Office Address: 1789 Woodlane Drive, Suite D, Woodbury, MN 55125, USA
ZIP code: 55125
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOODGROVE DENTAL P.A. 401(K) PROFIT SHARING PLAN 2023 410992289 2024-08-14 WOODGROVE DENTAL P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR, STE D, WOODBURY, MN, 551253910

Signature of
Role Plan administrator
Date 2024-08-14
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-14
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401(K) PROFIT SHARING PLAN 2022 410992289 2023-09-05 WOODGROVE DENTAL P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR, STE D, WOODBURY, MN, 551253910

Signature of
Role Plan administrator
Date 2023-09-05
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-05
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401(K) PROFIT SHARING PLAN 2021 410992289 2022-07-17 WOODGROVE DENTAL P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR, STE D, WOODBURY, MN, 551253910

Signature of
Role Plan administrator
Date 2022-07-17
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-17
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401(K) PROFIT SHARING PLAN 2020 410992289 2021-09-05 WOODGROVE DENTAL P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR, STE D, WOODBURY, MN, 551253910

Signature of
Role Plan administrator
Date 2021-09-05
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-05
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401(K) PROFIT SHARING PLAN 2019 410992289 2020-07-26 WOODGROVE DENTAL P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR, STE D, WOODBURY, MN, 551253910

Signature of
Role Plan administrator
Date 2020-07-26
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-26
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401(K) PROFIT SHARING PLAN 2018 410992289 2019-08-05 WOODGROVE DENTAL P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR, STE D, WOODBURY, MN, 551253910

Signature of
Role Plan administrator
Date 2019-08-05
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-05
Name of individual signing SHANNON CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401K PROFIT SHARING PLAN 2017 410992289 2018-03-06 WOODGROVE DENTAL P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910

Plan administrator’s name and address
Administrator’s EIN 410992289
Plan administrator’s name WOODGROVE DENTAL P.A.
Plan administrator’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910
Administrator’s telephone number 6517381284

Signature of
Role Plan administrator
Date 2018-03-06
Name of individual signing PAUL WILLIAM HENSEL
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401K PROFIT SHARING PLAN 2016 410992289 2017-05-29 WOODGROVE DENTAL P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910

Plan administrator’s name and address
Administrator’s EIN 410992289
Plan administrator’s name WOODGROVE DENTAL P.A.
Plan administrator’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910
Administrator’s telephone number 6517381284

Signature of
Role Plan administrator
Date 2017-05-29
Name of individual signing PAUL WILLIAM HENSEL
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401K PROFIT SHARING PLAN 2015 410992289 2016-05-04 WOODGROVE DENTAL P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910

Plan administrator’s name and address
Administrator’s EIN 410992289
Plan administrator’s name WOODGROVE DENTAL P.A.
Plan administrator’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910
Administrator’s telephone number 6517381284

Signature of
Role Plan administrator
Date 2016-05-04
Name of individual signing PAUL WILLIAM HENSEL
Valid signature Filed with authorized/valid electronic signature
WOODGROVE DENTAL P.A. 401K PROFIT SHARING PLAN 2014 410992289 2015-07-27 WOODGROVE DENTAL P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 6517381284
Plan sponsor’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910

Plan administrator’s name and address
Administrator’s EIN 410992289
Plan administrator’s name WOODGROVE DENTAL P.A.
Plan administrator’s address 1789 WOODLANE DR STE D, WOODBURY, MN, 551253910
Administrator’s telephone number 6517381284

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing PAUL WILLIAM HENSEL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Shannon C Cunningham Chief Executive Officer 1789 Woodlane Drv, Suite D, Woodbury, MN 55125, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2016-05-17
Administrative Dissolution - Business Corporation (Domestic) 2016-03-14
Business Corporation (Domestic) Business Name (Business Name: Woodgrove Dental P.A.) 2004-10-15
Business Corporation (Domestic) Business Name (Business Name: MacCarthy, Hensel, McCabe and Associates, D.D.S.,P.A.) 2002-02-21
Registered Office and/or Agent - Business Corporation (Domestic) 1988-12-08
Business Corporation (Domestic) Business Name (Business Name: MacCarthy, Hensel and Associates, D.D.S., P.A.) 1988-01-08
Business Corporation (Domestic) Active Status Report 1979-12-12
Original Filing - Business Corporation (Domestic) 1973-01-04
Business Corporation (Domestic) Business Name (Business Name: Dr. Gary R. MacCarthy, D.D.S., P.A.) 1973-01-04

Related by officers

No related officers

Related by address

1789 Woodlane Drv, Woodbury, MN 55125, USA

Rodenburg Oral & Maxillofacial Surgery PAUL W. JOHNSON, D.D.S., P.A. Linn Automotive, Inc. Linn Enterprises, Inc. Woodbury Dental Building Woodlane Professional Center Woodgrove Dental

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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