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  5. HAASKEN DENTAL LLC

HAASKEN DENTAL LLC

Company Details

Name: HAASKEN DENTAL LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 12 Jan 2017 (8 years ago)
Company Number: 4a6f8aef-f7d8-e611-8168-00155d46d26e
File Number: 925352700030
Registered Office Address: 130 Forest Ave E, Mora, MN 55051, USA
Principal Executive Office Address: 130 FOREST AVE E, MORA, MN 55051–1510, USA
ZIP code: 55051
County: Kanabec County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIDELITY RETIREMENT PLAN 2023 814762428 2024-07-29 HAASKEN DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 3206791010
Plan sponsor’s mailing address 130 FOREST AVE E, MORA, MN, 55051
Plan sponsor’s address 130 FOREST AVE E, MORA, MN, 55051

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
FIDELITY RETIREMENT PLAN 2022 814762428 2023-07-19 HAASKEN DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 3206791010
Plan sponsor’s mailing address 130 FOREST AVE E, MORA, MN, 550511510
Plan sponsor’s address 130 FOREST AVE E, MORA, MN, 550511510

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-19
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
FIDELITY RETIREMENT PLAN 2021 814762428 2022-07-25 HAASKEN DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 3206791010
Plan sponsor’s mailing address 130 FOREST AVE E, MORA, MN, 550511510
Plan sponsor’s address 130 FOREST AVE E, MORA, MN, 550511510

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-25
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
FIDELITY RETIREMENT PLAN 2020 814762428 2021-07-08 HAASKEN DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 3206791010
Plan sponsor’s mailing address 130 FOREST AVE E, MORA, MN, 550511510
Plan sponsor’s address 130 FOREST AVE E, MORA, MN, 550511510

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
FIDELITY RETIREMENT PLAN 2019 814762428 2020-07-17 HAASKEN DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 3206791010
Plan sponsor’s mailing address 130 FOREST AVE E, MORA, MN, 550511510
Plan sponsor’s address 130 FOREST AVE E, MORA, MN, 550511510

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
FIDELITY RETIREMENT PLAN 2018 814762428 2019-07-29 HAASKEN DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 3206791010
Plan sponsor’s mailing address 130 FOREST AVE E, MORA, MN, 550511510
Plan sponsor’s address 130 FOREST AVE E, MORA, MN, 550511510

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing BRUCE HAASKEN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Bryce Haasken Manager 130 FOREST AVE E, MORA, MN 55051–1510, USA

Agent

Name Role
Bryce Haasken Agent

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2020-03-19
Administrative Termination - Limited Liability Company (Domestic) 2020-02-24
Original Filing - Limited Liability Company (Domestic) (Business Name: HAASKEN DENTAL LLC) 2017-01-12

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 29 Nov 2024

Sources: Minnesota's Official State Website

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