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Ely Family Dental

Company Details

Name: Ely Family Dental
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 07 Jun 2016 (9 years ago)
Company Number: 4f05ff05-dc2c-e611-816a-00155d01c56d
File Number: 891201500023
Principal Place of Business Address: 40 N 1st Ave E #5, Ely, MN 55731, USA
ZIP code: 55731
County: Lake County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELY FAMILY DENTAL 401(K) PLAN 2023 812614284 2024-07-30 ELY FAMILY DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2183653565
Plan sponsor’s address 40 N. 1ST AVENUE E, SUITE 5, ELY, MN, 55731

Signature of

Role Plan administrator
Date 2024-07-30
Name of individual signing CRYSTAL CHOPP
Valid signature Filed with authorized/valid electronic signature
ELY FAMILY DENTAL 401(K) PLAN 2022 812614284 2023-06-01 ELY FAMILY DENTAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2183653565
Plan sponsor’s address 40 N. 1ST AVENUE E, SUITE 5, ELY, MN, 55731

Signature of

Role Plan administrator
Date 2023-06-01
Name of individual signing CRYSTAL CHOPP
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Crystal Chopp DDS PLLC Aplicant 40 N. 1st Ave East. #5, Ely, MN 55731

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Ely Family Dental) 2016-06-07

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website