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  5. West Central Smiles P.A.

West Central Smiles P.A.

Company Details

Name: West Central Smiles P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 10 Sep 2007 (17 years ago)
Company Number: 3e82da70-90d4-e011-a886-001ec94ffe7f
File Number: 2499635-2
Registered Office Address: 1100 19th Ave SW, Suite 1, Willmar, MN 56201, USA
Principal Executive Office Address: 1100 19TH AVE SW # 1, WILLMAR, MN 56201–5288, USA
ZIP code: 56201
County: Kandiyohi County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST CENTRAL SMILES P.A. 401(K) PLAN 2023 260869182 2024-06-10 WEST CENTRAL SMILES, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2024-06-10
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES P.A. 401(K) PLAN 2022 260869182 2023-03-15 WEST CENTRAL SMILES, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2023-03-15
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES P.A. 401(K) PLAN 2021 260869182 2022-04-08 WEST CENTRAL SMILES, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2022-04-08
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES P.A. 401(K) PLAN 2020 260869182 2021-04-09 WEST CENTRAL SMILES, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2021-04-09
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES P.A. 401(K) PLAN 2019 260869182 2020-03-06 WEST CENTRAL SMILES, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2020-03-06
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES, P.A. 401(K) PLAN 2018 260869182 2019-03-14 WEST CENTRAL SMILES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2019-03-14
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES, P.A. 401(K) PLAN 2017 260869182 2018-02-16 WEST CENTRAL SMILES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES, P.A. 401(K) PLAN 2016 260869182 2017-02-21 WEST CENTRAL SMILES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2017-02-21
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES, P.A. 401(K) PLAN 2015 260869182 2016-03-18 WEST CENTRAL SMILES, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2016-03-18
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature
WEST CENTRAL SMILES, P.A. 401(K) PLAN 2014 260869182 2015-03-26 WEST CENTRAL SMILES, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3202353102
Plan sponsor’s address 1100 19TH AVENUE SW, SUITE 1, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2015-03-26
Name of individual signing JEREMY JOHNSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jeremy Johnson Chief Executive Officer 1100 19TH AVE SW # 1, WILLMAR, MN 56201–5288, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2012-12-01
Business Corporation (Domestic) Business Name (Business Name: West Central Smiles P.A.) 2009-07-27
Original Filing - Business Corporation (Domestic) 2007-09-10
Business Corporation (Domestic) Business Name (Business Name: Dr. Jeremy Johnson DDS MS, P.A.) 2007-09-10

Related by officers

Jeremy Johnson

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Related by address

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Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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