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A.M Dental Professionals, P.A.

Company Details

Name: A.M Dental Professionals, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 Jan 2009 (16 years ago)
Company Number: 355bcf25-93d4-e011-a886-001ec94ffe7f
File Number: 3191400-2
Registered Office Address: 235 1st Ave E, Shakopee, MN 55379, USA
Principal Executive Office Address: 235 1ST AVE E, SHAKOPEE, MN 55379–1440, USA
ZIP code: 55379
County: Scott County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A.M DENTAL PROFESSIONALS P.A 401K PLAN 2022 264323666 2023-06-26 A.M DENTAL PROFESSIONALS P.A 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9524456220
Plan sponsor’s address 1036 1ST AVE EAST SUITE 100, SHAKOPEE, MN, 55379

Signature of

Role Plan administrator
Date 2023-06-26
Name of individual signing MICHAEL RAU
Valid signature Filed with authorized/valid electronic signature
A.M DENTAL PROFESSIONALS P.A 401K PLAN 2021 264323666 2022-05-16 A.M DENTAL PROFESSIONALS P.A 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9524456220
Plan sponsor’s address 1036 1ST AVE EAST SUITE 100, SHAKOPEE, MN, 55379

Signature of

Role Plan administrator
Date 2022-05-16
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
A.M DENTAL PROFESSIONALS P.A 401K PLAN 2020 264323666 2021-06-17 A.M DENTAL PROFESSIONALS P.A 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9524456220
Plan sponsor’s address 1036 1ST AVE EAST SUITE 100, SHAKOPEE, MN, 55379

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
A.M DENTAL PROFESSIONALS P.A 401K PLAN 2019 264323666 2020-09-17 A.M DENTAL PROFESSIONALS P.A 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9524456220
Plan sponsor’s address 1036 1ST AVE EAST SUITE 100, SHAKOPEE, MN, 55379

Signature of

Role Plan administrator
Date 2020-09-17
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-17
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
A.M DENTAL PROFESSIONALS P.A 401K PLAN 2018 264323666 2019-06-27 A.M DENTAL PROFESSIONALS P.A 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9524456220
Plan sponsor’s address 1036 1ST AVE EAST SUITE 100, SHAKOPEE, MN, 55379

Signature of

Role Plan administrator
Date 2019-06-27
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-27
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
A.M DENTAL PROFESSIONALS P.A 401K PLAN 2017 264323666 2018-09-21 A.M DENTAL PROFESSIONALS P.A 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9524456220
Plan sponsor’s address 1036 1ST AVE EAST SUITE 100, SHAKOPEE, MN, 55379

Signature of

Role Plan administrator
Date 2018-09-21
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
A.M DENTAL PROFESSIONALS P.A 401K PLAN 2016 264323666 2017-06-05 A.M DENTAL PROFESSIONALS P.A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9524456220
Plan sponsor’s address 1036 1ST AVE EAST SUITE 100, SHAKOPEE, MN, 55379

Signature of

Role Plan administrator
Date 2017-05-31
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-31
Name of individual signing AYESHA DOWNS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
AYESHA DOWNS Chief Executive Officer 235 1ST AVE E, SHAKOPEE, MN 55379–1440, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: A.M Dental Professionals, P.A.)Professional Service - Dentistry & Dental Hygiene 2009-01-29

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website