Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Anoka County
    4. ›
  4. 55025
    5. ›
  5. Forest Lake Family Dental

Forest Lake Family Dental

Company Details

Name: Forest Lake Family Dental
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 21 Sep 2017 (7 years ago)
Company Number: 52b0e289-239f-e711-8184-00155d01c6c6
File Number: 966901800023
Principal Place of Business Address: 69 North Lake Street, Suite 100, Forest Lake, MN 55025, USA
ZIP code: 55025
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOREST LAKE FAMILY DENTAL 401(K) PROFIT SHARING PLAN & TRUST 2019 461588991 2020-11-10 FOREST LAKE FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2020-11-10
Name of individual signing ERIC M. KNAFF
Valid signature Filed with authorized/valid electronic signature
FOREST LAKE FAMILY DENTAL 401(K) PROFIT SHARING PLAN & TRUST 2019 461588991 2020-04-19 FOREST LAKE FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2020-04-19
Name of individual signing ERIC KNAFF
Valid signature Filed with authorized/valid electronic signature
FOREST LAKE FAMILY DENTAL 401 K PROFIT SHARING PLAN TRUST 2018 461588991 2019-09-26 FOREST LAKE FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing ERIC KNAFF
Valid signature Filed with authorized/valid electronic signature
FOREST LAKE FAMILY DENTAL 401 K PROFIT SHARING PLAN TRUST 2017 461588991 2018-07-20 FOREST LAKE FAMILY DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing ERIC KNAFF
Valid signature Filed with authorized/valid electronic signature
FOREST LAKE FAMILY DENTAL 401 K PROFIT SHARING PLAN TRUST 2016 461588991 2017-06-06 FOREST LAKE FAMILY DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing ERIC M KNAFF
Valid signature Filed with authorized/valid electronic signature
FOREST LAKE FAMILY DENTAL 401 K PROFIT SHARING PLAN TRUST 2015 461588991 2016-07-27 FOREST LAKE FAMILY DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing ERIC M KNAFF
Valid signature Filed with authorized/valid electronic signature
FOREST LAKE FAMILY DENTAL 401 K PROFIT SHARING PLAN TRUST 2014 461588991 2015-07-20 FOREST LAKE FAMILY DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing ERIC KNAFF
Valid signature Filed with authorized/valid electronic signature
FOREST LAKE FAMILY DENTAL 401 K PROFIT SHARING PLAN TRUST 2013 461588991 2014-07-08 FOREST LAKE FAMILY DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 6514643425
Plan sponsor’s address 69 N LAKE ST. STE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2014-07-08
Name of individual signing ERIC KNAFF
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Jacob L. Barthold, D.D.S., P.A. Aplicant 69 North Lake Street, Suite 101, Forest Lake, MN 55025

Filing

Filing Name Filing date
Administrative Expiration - Assumed Name 2022-01-27
Original Filing - Assumed Name (Business Name: Forest Lake Family Dental) 2017-09-21

Related by officers

No related officers

Related by address

69 North Lake Street, Suite 100, Forest Lake, MN 55025, USA

Jacob L. Barthold, D.D.S., P.A. Eric M Knaff, Inc Professional Association J.A. Management L.L.C.

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 mnprof.com, Part of Big Data Integrated