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LONG LAKE FAMILY DENTISTRY, P.A.

Company Details

Name: LONG LAKE FAMILY DENTISTRY, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 26 May 1994 (31 years ago)
Company Number: 4eb2dd6a-acd4-e011-a886-001ec94ffe7f
File Number: 8G-581
Registered Office Address: 991 9th Ave NW, New Brighton, MN 55112, USA
Principal Executive Office Address: 991 9TH AVE NW, NEW BRIGHTON, MN 55112–2665, United States
ZIP code: 55112
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG LAKE FAMILY DENTISTRY, P.A. CASH BALANCE PLAN 2023 411783570 2024-09-23 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2023 411783570 2024-09-23 LONG LAKE FAMILY DENTISTRY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. CASH BALANCE PLAN 2022 411783570 2023-10-16 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2022 411783570 2023-10-16 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2021 411783570 2022-09-29 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. CASH BALANCE PLAN 2021 411783570 2022-09-29 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2020 411783570 2021-09-29 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. CASH BALANCE PLAN 2020 411783570 2021-09-29 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2019 411783570 2020-10-01 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112
LONG LAKE FAMILY DENTISTRY, P.A. CASH BALANCE PLAN 2019 411783570 2020-10-01 LONG LAKE FAMILY DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6516331311
Plan sponsor’s address 991 9TH AVE NW, NEW BRIGHTON, MN, 55112

Chief Executive Officer

Name Role Address
Hossein A Jalali Chief Executive Officer 991 9TH AVE NW, NEW BRIGHTON, MN 55112–2665, USA

Agent

Name Role
Dr Hossein A Jalali Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2023-12-06
Administrative Dissolution - Business Corporation (Domestic) 2023-01-26
Registered Office and/or Agent - Business Corporation (Domestic) 1995-08-24
Original Filing - Business Corporation (Domestic) 1994-05-26
Business Corporation (Domestic) Business Name (Business Name: LONG LAKE FAMILY DENTISTRY, P.A.) 1994-05-26

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website