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  5. Dr. Andrea K. Ruby DMD, PLLC

Dr. Andrea K. Ruby DMD, PLLC

Company Details

Name: Dr. Andrea K. Ruby DMD, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 10 Jul 2017 (8 years ago)
Company Number: 30aba5f4-9b65-e711-817e-00155d01c6c6
File Number: 956920700021
Registered Office Address: 22 Western Terrace, Golden Valley, MN 55426, USA
Principal Executive Office Address: 22 WESTERN TER, GOLDEN VALLEY, MN 55426–1340, United States
ZIP code: 55426
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RUBY DENTAL 401(K) PLAN 2023 822140859 2024-02-22 DR. ANDREA K. RUBY, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, SAINT LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2024-02-22
Name of individual signing ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-22
Name of individual signing ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
RUBY DENTAL 401(K) PLAN 2022 822140859 2023-10-16 DR. ANDREA K. RUBY, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, SAINT LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing DR. ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing DR. ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
RUBY DENTAL 401(K) PLAN 2021 822140859 2023-02-08 DR. ANDREA K. RUBY, DMD, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, SAINT LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2023-02-07
Name of individual signing ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-07
Name of individual signing ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
RUBY DENTAL 401(K) PLAN 2020 822140859 2021-10-12 DR. ANDREA K. RUBY, DMD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, SAINT LOUIS PARK, MN, 55426

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing ANDREA RUBY
Valid signature Filed with authorized/valid electronic signature
RUBY DENTAL 401(K) PLAN 2019 822140859 2020-10-02 DR. ANDREA K. RUBY, DMD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, SAINT LOUIS PARK, MN, 55426
RUBY DENTAL 401(K) PLAN 2018 822140859 2019-10-15 DR. ANDREA K. RUBY, DMD, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9529357707
Plan sponsor’s address 2934 TEXAS AVENUE SOUTH, SAINT LOUIS PARK, MN, 55426

Manager

Name Role Address
Andrea K Ruby Manager 2934 TEXAS AVE S, ST LOUIS PARK, MN 55426–3086, United States

Filing

Filing Name Filing date
Original Filing - Limited Liability Company (Domestic) (Business Name: Dr. Andrea K. Ruby DMD, PLLC)Professional Service - Dentistry & Dental Hygiene 2017-07-10

Related by officers

Andrea K Ruby

Ruby Property, LLC

Related by address

22 Western Terrace, Golden Valley, MN 55426, USA

Ruby Property, LLC

22 WESTERN TER, GOLDEN VALLEY, MN 55426–1340, United States

Ruby Property, LLC

Date of last update: 01 Jan 2025

Sources: Minnesota's Official State Website

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