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Wood Park Dental

Company Details

Name: Wood Park Dental
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 21 Oct 2021 (3 years ago)
Company Number: 24bb7f6e-b332-ec11-91b4-00155d32b93a
File Number: 1265368400024
Principal Place of Business Address: 4355 Nicols Rd, Eagan, MN 55122, USA
Mailing Address: 6308 Concord Ave, Edina, MN 55424, USA
ZIP code: 55122
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOOD PARK DENTAL 401(K) PROFIT SHARING PLAN 2014 411565703 2015-08-04 WOOD PARK DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 4355 NICOLS ROAD, EAGAN, MN, 55122

Signature of
Role Plan administrator
Date 2015-08-04
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
WOOD PARK DENTAL 401(K) PROFIT SHARING PLAN 2013 411565703 2014-10-14 WOOD PARK DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 4355 NICOLS ROAD, EAGAN, MN, 55122

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
WOOD PARK DENTAL 401(K) PROFIT SHARING PLAN 2012 411565703 2013-10-12 WOOD PARK DENTAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 COUNTY ROAD 42 E, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name WOOD PARK DENTAL
Plan administrator’s address 1100 COUNTY ROAD 42 E, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2013-10-12
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
WOOD PARK DENTAL 401(K) PROFIT SHARING PLAN 2011 411565703 2013-01-07 WOOD PARK DENTAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 COUNTY ROAD 42 E, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name WOOD PARK DENTAL
Plan administrator’s address 1100 COUNTY ROAD 42 E, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2013-01-07
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
WOOD PARK DENTAL 401(K) PROFIT SHARING PLAN 2011 411565703 2012-10-08 WOOD PARK DENTAL 8
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 COUNTY ROAD 42 E, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name WOOD PARK DENTAL
Plan administrator’s address 1100 COUNTY ROAD 42 E, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
WOOD PARK DENTAL PROFIT SHARING PLAN 2010 411565703 2011-03-16 WOOD PARK DENTAL 7
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name SAME
Plan administrator’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2011-03-16
Name of individual signing JON SKARE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-03-16
Name of individual signing JON SKARE
Valid signature Filed with incorrect/unrecognized electronic signature
WOOD PARK DENTAL PROFIT SHARING PLAN 2010 411565703 2011-03-16 WOOD PARK DENTAL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name SAME
Plan administrator’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2011-03-16
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-16
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
WOOD PARK DENTAL PROFIT SHARING PLAN 2010 411565703 2011-03-15 WOOD PARK DENTAL 7
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name SAME
Plan administrator’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2011-03-15
Name of individual signing JON SKARE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-03-15
Name of individual signing JON SKARE
Valid signature Filed with incorrect/unrecognized electronic signature
WOOD PARK DENTAL PROFIT SHARING PLAN 2009 411565703 2010-03-27 WOOD PARK DENTAL 6
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name WOOD PARK DENTAL
Plan administrator’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2010-03-27
Name of individual signing JON D SKARE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-03-27
Name of individual signing JON D SKARE
Valid signature Filed with incorrect/unrecognized electronic signature
WOOD PARK DENTAL PROFIT SHARING PLAN 2009 411565703 2010-04-05 WOOD PARK DENTAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524315088
Plan sponsor’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337

Plan administrator’s name and address
Administrator’s EIN 411565703
Plan administrator’s name WOOD PARK DENTAL
Plan administrator’s address 1100 EAST COUNTY ROAD 42, #103, BURNSVILLE, MN, 55337
Administrator’s telephone number 9524315088

Signature of
Role Plan administrator
Date 2010-04-05
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-05
Name of individual signing JON SKARE
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
TuAnh Le, D.D.S., P.L.L.C. Aplicant 4355 Nicols Rd, Eagan, MN 55122

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Wood Park Dental) 2021-10-21

Related by officers

No related officers

Related by address

4355 Nicols Rd, Eagan, MN 55122, USA

TuAnh Le, D.D.S., P.L.L.C. TLE Investments, L.L.C. Wood Park Dental P.A. Skare Properties L. L. C.

6308 Concord Ave, Edina, MN 55424, USA

TuAnh Le, D.D.S., P.L.L.C. TLE Investments, L.L.C.

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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