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  5. Glen Lake Dental Associates, P.A.

Glen Lake Dental Associates, P.A.

Company Details

Name: Glen Lake Dental Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Dec 1998 (26 years ago)
Company Number: 2cbc6e37-9dd4-e011-a886-001ec94ffe7f
File Number: 10L-48
Registered Office Address: 14421 Excelsior Blvd, Mtka, MN 55345, USA
Principal Executive Office Address: 6216 PARKWOOD RD, EDINA, MN 55436–1141, United States
ZIP code: 55345
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2023 411926290 2024-07-08 GLEN LAKE DENTAL ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing KRISTY TARAN, DDS
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2022 411926290 2023-10-05 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing KENT CASSIDY, DDS
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2021 411926290 2022-10-03 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing KENT CASSIDY, DDS
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2020 411926290 2021-09-28 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2019 411926290 2020-09-09 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-08
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2018 411926290 2019-06-06 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-05
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2017 411926290 2018-06-08 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-08
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2016 411926290 2017-05-04 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2017-05-03
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-03
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 411926290 2016-05-23 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-20
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
GLEN LAKE DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 411926290 2015-07-21 GLEN LAKE DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9529355212
Plan sponsor’s address 14421 EXCELSIOR BLVD., MINNETONKA, MN, 55345

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing KENT CASSIDY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kent E Cassidy Chief Executive Officer 14421 EXCELSIOR BLVD, MINNETONKA, MN 55345–5821, USA

Agent

Name Role
Kent E Cassidy Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2008-07-07
Original Filing - Business Corporation (Domestic) 1998-12-30
Business Corporation (Domestic) Business Name (Business Name: Glen Lake Dental Associates, P.A.) 1998-12-30
Original Filing - Business Corporation (Domestic)Professional Service - Dentistry & Dental Hygiene 1998-12-30

Related by officers

Kent E Cassidy

Glen Lake Dental Associates

Related by address

6216 PARKWOOD RD, EDINA, MN 55436–1141, United States

LDL Property Management Company

Date of last update: 25 Dec 2024

Sources: Minnesota's Official State Website

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