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  5. White Birch Dental, PLLC

White Birch Dental, PLLC

Company Details

Name: White Birch Dental, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 31 Aug 2016 (8 years ago)
Company Number: 3f077b3a-c36f-e611-816e-00155d01c56d
File Number: 900503900026
Registered Office Address: 510 1st Str, Princeton, MN 55371, USA
Principal Executive Office Address: 510 1st Street, Princeton, MN 55371, USA
ZIP code: 55371
County: Mille Lacs County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WHITE BIRCH DENTAL 401(K) PLAN 2023 814151289 2024-09-19 WHITE BIRCH DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7633891373
Plan sponsor’s address 510 1ST STREET, PRINCETON, MN, 55371

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
WHITE BIRCH DENTAL 401(K) PLAN 2022 814151289 2023-09-23 WHITE BIRCH DENTAL 10
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7633891373
Plan sponsor’s address 510 1ST STREET, PRINCETON, MN, 55371

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
WHITE BIRCH DENTAL 401(K) PLAN 2021 814151289 2022-08-09 WHITE BIRCH DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7633891373
Plan sponsor’s address 510 1ST STREET, PRINCETON, MN, 55371

Signature of
Role Plan administrator
Date 2022-08-09
Name of individual signing ALEX LUND
Valid signature Filed with authorized/valid electronic signature
WHITE BIRCH DENTAL 401(K) PLAN 2020 814151289 2021-10-14 WHITE BIRCH DENTAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7633891373
Plan sponsor’s address 510 1ST STREET, PRINCETON, MN, 55371

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing ALEX LUND
Valid signature Filed with authorized/valid electronic signature
WHITE BIRCH DENTAL 401(K) PLAN 2019 814151289 2020-10-12 WHITE BIRCH DENTAL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7633891373
Plan sponsor’s address 510 1ST STREET, PRINCETON, MN, 55371

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing ALEX LUND
Valid signature Filed with authorized/valid electronic signature
WHITE BIRCH DENTAL 401(K) PLAN 2018 814151289 2019-10-01 WHITE BIRCH DENTAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7633891373
Plan sponsor’s address 510 1ST STREET, PRINCETON, MN, 55371

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing ALEX LUND
Valid signature Filed with authorized/valid electronic signature
WHITE BIRCH DENTAL 401(K) PLAN 2017 814151289 2018-07-16 WHITE BIRCH DENTAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7633891373
Plan sponsor’s address 510 1ST STREET, PRINCETON, MN, 55371

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing ALEX LUND
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Alex Robert Lund Manager 510 1st Street, Princeton, MN 55371, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2017-01-11
Amendment - Limited Liability Company (Domestic) (Business Name: White Birch Dental, PLLC) 2016-10-18
Original Filing - Limited Liability Company (Domestic) (Business Name: Loon Dental, PLLC)Professional Service - Dentistry & Dental Hygiene 2016-08-31

Related by officers

Alex Robert Lund

Lund Buildings, LLC

Related by address

510 1st Str, Princeton, MN 55371, USA

Dr. Philip J. Lingle, Ltd.

510 1st Street, Princeton, MN 55371, USA

Lund Buildings, LLC

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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