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  5. WILCOX FAMILY DENTISTRY, P.A.

WILCOX FAMILY DENTISTRY, P.A.

Company Details

Name: WILCOX FAMILY DENTISTRY, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 24 Dec 2014 (10 years ago)
Company Number: 3a46ec19-c48b-e411-ae63-001ec94ffe7f
File Number: 799641400065
Registered Office Address: 1201 Franklin Ave, Sauk Rapids, MN 56379, USA
Principal Executive Office Address: 1201 FRANKLIN AVE, SAUK RAPIDS, MN 56379–1226, USA
ZIP code: 56379
County: Benton County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2022 472650456 2023-07-10 WILCOX FAMILY DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-03
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2022 472650456 2023-11-20 WILCOX FAMILY DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2023-11-20
Name of individual signing ANDREW S WILCOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-11-20
Name of individual signing ANDREW S WILCOX
Valid signature Filed with authorized/valid electronic signature
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2021 472650456 2022-06-21 WILCOX FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2022-05-02
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-02
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2020 472650456 2021-06-15 WILCOX FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-15
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2019 472650456 2020-08-27 WILCOX FAMILY DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2020-08-27
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-27
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2018 472650456 2019-06-19 WILCOX FAMILY DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2017 472650456 2018-07-25 WILCOX FAMILY DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature
WILCOX FAMILY DENTISTRY, PLLC 401(K) SAFE HARBOR PLAN 2016 472650456 2017-07-18 WILCOX FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3202534242
Plan sponsor’s address 1201 FRANKLIN AVENUE, SAUK RAPIDS, MN, 56379

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing ANDREW WILCOX
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Andrew S Wilcox Chief Executive Officer 1201 FRANKLIN AVE, SAUK RAPIDS, MN 56379–1226, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2016-11-21
Original Filing - Business Corporation (Domestic) (Business Name: WILCOX FAMILY DENTISTRY, P.A.)Professional Service - Dentistry & Dental Hygiene 2014-12-24

Related by officers

Andrew S Wilcox

Wilcox Holdings L. L. C. Wilcox Family Dentistry SMB eCommerce LLC

Related by address

1201 Franklin Ave, Sauk Rapids, MN 56379, USA

Wilcox Holdings L. L. C.

Date of last update: 01 Nov 2024

Sources: Minnesota's Official State Website

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