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  5. Dental South, P.A.

Dental South, P.A.

Company Details

Name: Dental South, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Dec 1997 (27 years ago)
Company Number: 3b30362d-aad4-e011-a886-001ec94ffe7f
File Number: 9X-956
Registered Office Address: 800 Marie Ave, South St Paul, MN 55075, USA
Principal Executive Office Address: 6216 parkwood road, edina, MN 55436–5543, United States
ZIP code: 55075
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2016 411893798 2017-05-24 DENTAL SOUTH, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Signature of
Role Plan administrator
Date 2017-05-24
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-24
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2016 411893798 2017-05-25 DENTAL SOUTH, 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 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2015 411893798 2016-07-05 DENTAL SOUTH, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2014 411893798 2015-07-15 DENTAL SOUTH, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2013 411893798 2014-06-30 DENTAL SOUTH, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-30
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2012 411893798 2013-06-17 DENTAL SOUTH, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2011 411893798 2012-06-27 DENTAL SOUTH, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Plan administrator’s name and address
Administrator’s EIN 411893798
Plan administrator’s name DENTAL SOUTH, P.A.
Plan administrator’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075
Administrator’s telephone number 6514511277

Signature of
Role Plan administrator
Date 2012-06-27
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2010 411893798 2011-09-21 DENTAL SOUTH, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Plan administrator’s name and address
Administrator’s EIN 411893798
Plan administrator’s name DENTAL SOUTH, P.A.
Plan administrator’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075
Administrator’s telephone number 6514511277

Signature of
Role Plan administrator
Date 2011-09-21
Name of individual signing MICHAEL J. PRUEHER
Valid signature Filed with authorized/valid electronic signature
DENTAL SOUTH, P.A. 401(K) PROFIT SHARING PLAN 2009 411893798 2010-09-24 DENTAL SOUTH, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6514511277
Plan sponsor’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075

Plan administrator’s name and address
Administrator’s EIN 411893798
Plan administrator’s name DENTAL SOUTH, P.A.
Plan administrator’s address 800 MARIE AVENUE, SOUTH ST. PAUL, MN, 55075
Administrator’s telephone number 6514511277

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing MICHAEL J. PRUEHER, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Michael J Prueher Chief Executive Officer 800 Marie Ave, South St Paul, MN 55075, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Dental South, P.A.)Professional Service - Dentistry & Dental Hygiene 1997-12-16

Related by officers

Michael J Prueher

Michael J Prueher LLC Minnesota Lakes Dental, P.A.

Related by address

800 Marie Ave, South St Paul, MN 55075, USA

Minnesota Lakes Dental, P.A. MJP Property Management, LLC DENTAL SOUTH

6216 parkwood road, edina, MN 55436–5543, United States

Hawaiian Tan Inc

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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