Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Anoka County
    4. ›
  4. 55025
    5. ›
  5. William Stackpole D.D.S., P.A.

William Stackpole D.D.S., P.A.

Company Details

Name: William Stackpole D.D.S., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 21 Jan 1997 (28 years ago)
Company Number: 3eac4521-aad4-e011-a886-001ec94ffe7f
File Number: 9M-680
Registered Office Address: 1068 Lake Str S, Forest Lake, MN 55025, USA
Principal Executive Office Address: 7095 Lent Trail, PO Box 356, Stacy, MN 55079, USA
ZIP code: 55025
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2018 391873458 2019-10-22 WILLIAM STACKPOLE, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address P.O. BOX 356, STACY, MN, 55079
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2018 391873458 2019-07-10 WILLIAM STACKPOLE, D.D.S., P.A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2017 391873458 2018-05-30 WILLIAM STACKPOLE, D.D.S., P.A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2016 391873458 2017-05-26 WILLIAM STACKPOLE, D.D.S., P.A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2015 391873458 2016-05-17 WILLIAM STACKPOLE, D.D.S., P.A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2014 391873458 2015-05-14 WILLIAM STACKPOLE, D.D.S., P.A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2015-05-14
Name of individual signing WILLIAM STACKPOLE
Valid signature Filed with authorized/valid electronic signature
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2013 391873458 2014-07-11 WILLIAM STACKPOLE, D.D.S., P.A 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing WILLIAM STACKPOLE
Valid signature Filed with authorized/valid electronic signature
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2012 391873458 2013-07-17 WILLIAM STACKPOLE, D.D.S., P.A 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2013-07-17
Name of individual signing WILLIAM STACKPOLE
Valid signature Filed with authorized/valid electronic signature
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2011 391873458 2012-06-21 WILLIAM STACKPOLE, D.D.S., P.A 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025

Plan administrator’s name and address
Administrator’s EIN 391873458
Plan administrator’s name WILLIAM STACKPOLE, D.D.S., P.A
Plan administrator’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025
Administrator’s telephone number 6514648207

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing WILLIAM STACKPOLE
Valid signature Filed with authorized/valid electronic signature
WILLIAM STACKPOLE, D.D.S., P.A. EMPLOYEE SAVINGS PLAN 2010 391873458 2011-06-08 WILLIAM STACKPOLE, D.D.S., P.A 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-02-01
Business code 621210
Sponsor’s telephone number 6514648207
Plan sponsor’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025

Plan administrator’s name and address
Administrator’s EIN 391873458
Plan administrator’s name WILLIAM STACKPOLE, D.D.S., P.A
Plan administrator’s address 1068 SOUTH LAKE STREET - SUITE 210, FOREST LAKE, MN, 55025
Administrator’s telephone number 6514648207

Signature of
Role Plan administrator
Date 2011-06-08
Name of individual signing WILLIAM STACKPOLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-08
Name of individual signing WILLIAM STACKPOLE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
William Stackpole Chief Executive Officer PO Box 356, Stacy, MN 55079, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2023-01-26
Original Filing - Business Corporation (Domestic) (Business Name: William Stackpole D.D.S., P.A.)Professional Service - Dentistry & Dental Hygiene 1997-01-21

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 mnprof.com, Part of Big Data Integrated