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  5. Northern Star Oral and Maxillofacial Surgery, PLLC

Northern Star Oral and Maxillofacial Surgery, PLLC

Company Details

Name: Northern Star Oral and Maxillofacial Surgery, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 04 Nov 2008 (16 years ago)
Company Number: 319453ba-92d4-e011-a886-001ec94ffe7f
File Number: 3072502-2
Registered Office Address: 1660 South Highway 100 #145, St Louis Park, MN 55416, USA
Principal Executive Office Address: 1660 Highway 100 S. STE # 145, St. Louis Park, MN 55416, USA
ZIP code: 55416
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2023 943451544 2024-10-10 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2022 943451544 2023-09-11 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-11
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2021 943451544 2022-09-09 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-09
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2020 943451544 2021-09-30 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-24
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2019 943451544 2020-10-13 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2018 943451544 2019-07-31 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2017 943451544 2018-07-20 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing CHARLOTTE CHESTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-20
Name of individual signing JULIE CHAVEZ
Valid signature Filed with authorized/valid electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2016 943451544 2017-07-25 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 1660 SOUTH HIGHWAY 100, SUITE 145, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing CHARLOTTE CHESTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-25
Name of individual signing CHARLOTTE CHESTER
Valid signature Filed with incorrect/unrecognized electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2015 943451544 2016-07-25 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 5100 GAMBLE DRIVE, SUITE 125, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing BENJAMIN HERDING
Valid signature Filed with authorized/valid electronic signature
NORTHERN STAR ORAL AND MAXILLOFACIAL RETIREMENT PLAN 2014 943451544 2015-06-15 NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9524650105
Plan sponsor’s address 5100 GAMBLE DRIVE, SUITE 125, ST LOUIS PARK, MN, 55416

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing SHIRLEY HERDING
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Julie Chavez Manager 1660 Highway 100 S. STE # 145, St. Louis Park, MN 55416, USA

Filing

Filing Name Filing date
Amendment - Limited Liability Company (Domestic)Election to 322C 2017-05-17
Original Filing - Limited Liability Company (Domestic) 2008-11-04
Limited Liability Company (Domestic) Business Name (Business Name: Northern Star Oral and Maxillofacial Surgery, PLLC) 2008-11-04

Related by officers

Julie Chavez

Metropolitan Dental Study Club, Inc. Sustainable Surgeon Project LLC

Related by address

No related companies by address

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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