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  5. Fifth Avenue Dental, P.A.

Fifth Avenue Dental, P.A.

Company Details

Name: Fifth Avenue Dental, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 Dec 1992 (32 years ago)
Company Number: 23291001-b4d4-e011-a886-001ec94ffe7f
File Number: 7Q-563
Registered Office Address: 1829 5th Ave S, Anoka, MN 55303, USA
Principal Executive Office Address: 1829 5TH AVE, ANOKA, MN 55303–2566, USA
ZIP code: 55303
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIFTH AVENUE DENTAL 401(K) PLAN 2023 411740531 2024-08-09 FIFTH AVENUE DENTAL, P.A. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 829 5TH AVENUE, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2024-08-09
Name of individual signing COLLEEN HALLIGAN MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-09
Name of individual signing COLLEEN HALLIGAN MARTIN
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL 401(K) PLAN 2022 411740531 2023-08-24 FIFTH AVENUE DENTAL, P.A. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 829 5TH AVENUE, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2023-08-24
Name of individual signing COLLEEN HALLIGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-24
Name of individual signing COLLEEN HALLIGAN
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL 401(K) PLAN 2021 411740531 2022-07-22 FIFTH AVENUE DENTAL, P.A. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 829 5TH AVENUE, ANOKA, MN, 55303

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing COLLEEN HALLIGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-22
Name of individual signing COLLEEN HALLIGAN
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 411740531 2015-01-21 FIFTH AVENUE DENTAL, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566

Signature of
Role Plan administrator
Date 2015-01-21
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-21
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 411740531 2014-03-13 FIFTH AVENUE DENTAL, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566

Signature of
Role Plan administrator
Date 2014-03-13
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-13
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 411740531 2013-02-07 FIFTH AVENUE DENTAL, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566

Signature of
Role Plan administrator
Date 2013-02-07
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-07
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 411740531 2012-03-07 FIFTH AVENUE DENTAL, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566

Plan administrator’s name and address
Administrator’s EIN 411740531
Plan administrator’s name FIFTH AVENUE DENTAL, P.A.
Plan administrator’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566
Administrator’s telephone number 7634215320

Signature of
Role Plan administrator
Date 2012-03-07
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-07
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2010 411740531 2011-04-28 FIFTH AVENUE DENTAL, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566

Plan administrator’s name and address
Administrator’s EIN 411740531
Plan administrator’s name FIFTH AVENUE DENTAL, P.A.
Plan administrator’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566
Administrator’s telephone number 7634215320

Signature of
Role Plan administrator
Date 2011-04-28
Name of individual signing ROBERT R DONLIN JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-28
Name of individual signing ROBERT R DONLIN JR
Valid signature Filed with authorized/valid electronic signature
FIFTH AVENUE DENTAL, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2009 411740531 2010-06-28 FIFTH AVENUE DENTAL, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 7634215320
Plan sponsor’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566

Plan administrator’s name and address
Administrator’s EIN 411740531
Plan administrator’s name FIFTH AVENUE DENTAL, P.A.
Plan administrator’s address 1829 5TH AVENUE SOUTH, ANOKA, MN, 553032566
Administrator’s telephone number 7634215320

Signature of
Role Plan administrator
Date 2010-06-28
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-28
Name of individual signing ROBERT R DONLIN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kris Schroeder Chief Executive Officer 1829 5TH AVE, ANOKA, MN 55303–2566, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Change of Shares Restated Articles 2013-08-27
Original Filing - Business Corporation (Domestic) (Business Name: Fifth Avenue Dental, P.A.)Professional Service - Dentistry & Dental Hygiene 1992-12-29

Related by officers

Kris Schroeder

Classic Kids

Related by address

1829 5th Ave S, Anoka, MN 55303, USA

Fifth Avenue Dental Building Partnership Fifth Avenue Dental

Date of last update: 20 Jan 2025

Sources: Minnesota's Official State Website

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