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  5. Roger E. Austin, D.D.S., P.A.

Roger E. Austin, D.D.S., P.A.

Company Details

Name: Roger E. Austin, D.D.S., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 12 Feb 1999 (26 years ago)
Company Number: 2cb7eac2-9fd4-e011-a886-001ec94ffe7f
File Number: 10M-766
Registered Office Address: 11237 Foley Blvd NW, Coon Rapids, MN 55433, USA
Principal Executive Office Address: 3700 MISSISSIPPI DRIVE NW, COON RAPIDS, MN 55433, USA
ZIP code: 55433
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROGER E. AUSTIN, D.D.S., P.A. 401(K) PLAN 2011 411929942 2012-12-20 ROGER E. AUSTIN, D.D.S., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621210
Sponsor’s telephone number 7637573120
Plan sponsor’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448

Plan administrator’s name and address
Administrator’s EIN 411929942
Plan administrator’s name ROGER E. AUSTIN, D.D.S., P.A.
Plan administrator’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448
Administrator’s telephone number 7637573120

Signature of
Role Plan administrator
Date 2012-12-20
Name of individual signing MARY AUSTIN
Valid signature Filed with authorized/valid electronic signature
ROGER E. AUSTIN, D.D.S., P.A. 401(K) PLAN 2011 411929942 2012-05-08 ROGER E. AUSTIN, D.D.S., P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621210
Sponsor’s telephone number 7637573120
Plan sponsor’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448

Plan administrator’s name and address
Administrator’s EIN 411929942
Plan administrator’s name ROGER E. AUSTIN, D.D.S., P.A.
Plan administrator’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448
Administrator’s telephone number 7637573120

Signature of
Role Plan administrator
Date 2012-05-08
Name of individual signing MARY AUSTIN
Valid signature Filed with authorized/valid electronic signature
ROGER E. AUSTIN, D.D.S., P.A. 401(K) PLAN 2010 411929942 2011-07-20 ROGER E. AUSTIN, D.D.S., P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621210
Sponsor’s telephone number 7637573120
Plan sponsor’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448

Plan administrator’s name and address
Administrator’s EIN 411929942
Plan administrator’s name ROGER E. AUSTIN, D.D.S., P.A.
Plan administrator’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448
Administrator’s telephone number 7637573120

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing MARY AUSTIN
Valid signature Filed with authorized/valid electronic signature
ROGER E. AUSTIN, D.D.S., P.A. 401(K) PLAN 2010 411929942 2011-02-18 ROGER E. AUSTIN, D.D.S., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621210
Sponsor’s telephone number 7637573120
Plan sponsor’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448

Plan administrator’s name and address
Administrator’s EIN 411929942
Plan administrator’s name ROGER E. AUSTIN, D.D.S., P.A.
Plan administrator’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448
Administrator’s telephone number 7637573120

Signature of
Role Plan administrator
Date 2011-02-18
Name of individual signing MARY AUSTIN
Valid signature Filed with authorized/valid electronic signature
ROGER E. AUSTIN, D.D.S., P.A. 401(K) PLAN 2009 411929942 2010-09-15 ROGER E. AUSTIN, D.D.S., P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-09-01
Business code 621210
Sponsor’s telephone number 7637573120
Plan sponsor’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448

Plan administrator’s name and address
Administrator’s EIN 411929942
Plan administrator’s name ROGER E. AUSTIN, D.D.S., P.A.
Plan administrator’s address 11237 FOLEY BOULEVARD NW, COON RAPIDS, MN, 55448
Administrator’s telephone number 7637573120

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing MARY AUSTIN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Mary Austin Chief Executive Officer 3700 MISSISSIPPI DRIVE NW, COON RAPIDS, MN 55433, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2015-06-08
Original Filing - Business Corporation (Domestic) (Business Name: Roger E. Austin, D.D.S., P.A.)Professional Service - Dentistry & Dental Hygiene 1999-02-12

Related by officers

No related officers

Related by address

11237 Foley Blvd NW, Coon Rapids, MN 55433, USA

Dr. Thomas W. Anderson and Dr. Roger E. Austin, P.A.

Date of last update: 04 Oct 2024

Sources: Minnesota's Official State Website

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