| Name: | Rochester Pediatric Dentistry |
| Jurisdiction: | Minnesota |
| Legal type: | Assumed Name |
| Status: | Active / In Good Standing |
| Date formed: | 21 Nov 2014 (10 years ago) |
| Company Number: | 45ddea0f-cc71-e411-ae63-001ec94ffe7f |
| File Number: | 795481400021 |
| Principal Place of Business Address: | 1705 Broadway Ave S, Rochester, MN 55904, USA |
| ZIP code: | 55904 |
| County: | Olmsted County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROCHESTER PEDIATRIC DENTISTRY 401(K) PLAN | 2023 | 472313655 | 2024-09-25 | ROCHESTER PEDIATRIC DENTISTRY | 20 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-09-25 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072880102 |
| Plan sponsor’s address | 1705 BROADWAY AVE S STE. B, ROCHESTER, MN, 55904 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-24 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072880102 |
| Plan sponsor’s address | 1705 BROADWAY AVE S STE. B, ROCHESTER, MN, 55904 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-17 |
| Name of individual signing | KELLY JONES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072880102 |
| Plan sponsor’s address | 1705 BROADWAY AVE S STE. B, ROCHESTER, MN, 55904 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-08 |
| Name of individual signing | KELLY JONES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5072880102 |
| Plan sponsor’s address | 1705 BROADWAY AVE S STE. B, ROCHESTER, MN, 55904 |
Signature of
| Role | Plan administrator |
| Date | 2020-09-09 |
| Name of individual signing | KELLY JONES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Kelly Jones | Aplicant | 1042 Plummer Circ SW, Rochester, MN 55902 |
| Filing Name | Filing date |
|---|---|
| Amendment - Assumed Name | 2017-10-05 |
| Original Filing - Assumed Name (Business Name: Rochester Pediatric Dentistry ) | 2014-11-21 |
Date of last update: 27 Sep 2024
Sources: Minnesota's Official State Website
