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Keith A. Kemnitz, D.D.S., P.A.

Company Details

Name: Keith A. Kemnitz, D.D.S., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 18 Mar 1986 (39 years ago)
Company Number: 544edbd9-b6d4-e011-a886-001ec94ffe7f
File Number: 5E-658
Registered Office Address: 2999 W Co Rd 42 #138, Burnsville, MN 55306, USA
Principal Executive Office Address: 2999 West County Road 42 #138, Burnsville, MN 55306, USA
ZIP code: 55306
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN 2020 411551307 2021-04-14 KEITH A. KEMNITZ, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY ROAD 42 WEST, SUITE 138, BURNSVILLE, MN, 553065907

Plan administrator’s name and address

Administrator’s EIN 411551307
Plan administrator’s name KEITH A. KEMNITZ,D.D.S., P.A.
Plan administrator’s address 2999 COUNTY ROAD 42 WEST, BURNSVILLE, MN, 553065907
Administrator’s telephone number 9528941365

Signature of

Role Plan administrator
Date 2021-04-14
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KAK, D.D.S., P.A. CASH BALANCE PLAN 2019 411551307 2020-12-21 KEITH A. KEMNITZ, D.D.S., P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306

Signature of

Role Plan administrator
Date 2020-12-21
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN 2019 411551307 2021-01-07 KEITH A. KEMNITZ, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907

Plan administrator’s name and address

Administrator’s EIN 411551307
Plan administrator’s name KEITH A. KEMNITZ, D.D.S., P.A.
Plan administrator’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
Administrator’s telephone number 9528941365

Signature of

Role Plan administrator
Date 2021-01-07
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KAK, D.D.S., P.A. CASH BALANCE PLAN 2019 411551307 2020-12-18 KEITH A. KEMNITZ, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306

Signature of

Role Plan administrator
Date 2020-12-18
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN 2018 411551307 2019-10-30 KEITH A. KEMNITZ, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907

Plan administrator’s name and address

Administrator’s EIN 411551307
Plan administrator’s name KEITH A. KEMNITZ, D.D.S., P.A.
Plan administrator’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
Administrator’s telephone number 9528941365

Signature of

Role Plan administrator
Date 2019-10-30
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KAK, D.D.S., P.A. CASH BALANCE PLAN 2018 411551307 2019-11-25 KEITH A. KEMNITZ, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306

Signature of

Role Plan administrator
Date 2019-11-24
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-11-24
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN 2017 411551307 2018-10-24 KEITH A. KEMNITZ, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907

Plan administrator’s name and address

Administrator’s EIN 411551307
Plan administrator’s name KEITH A. KEMNITZ, D.D.S., P.A.
Plan administrator’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
Administrator’s telephone number 9528941365

Signature of

Role Plan administrator
Date 2018-10-24
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KAK, D.D.S., P.A. CASH BALANCE PLAN 2017 411551307 2018-12-21 KEITH A. KEMNITZ, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306

Signature of

Role Plan administrator
Date 2018-12-21
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-12-21
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KEITH A. KEMNITZ, D.D.S., P.A. PROFIT SHARING PLAN 2016 411551307 2017-11-22 KEITH A. KEMNITZ, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907

Plan administrator’s name and address

Administrator’s EIN 411551307
Plan administrator’s name KEITH A. KEMNITZ, D.D.S., P.A.
Plan administrator’s address 2999 COUNTY ROAD 42 W STE 138, BURNSVILLE, MN, 553065907
Administrator’s telephone number 9528941365

Signature of

Role Plan administrator
Date 2017-11-22
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
KAK, D.D.S., P.A. CASH BALANCE PLAN 2016 411551307 2017-12-02 KEITH A. KEMNITZ, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-04-01
Business code 621210
Sponsor’s telephone number 9528941365
Plan sponsor’s address 2999 COUNTY RD. 42 W., SUITE 138, BURNSVILLE, MN, 55306

Signature of

Role Plan administrator
Date 2017-12-02
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-02
Name of individual signing KEITH KEMNITZ
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Keith A Kemnitz Chief Executive Officer 2999 West County Road 42 #138, Burnsville, MN 55306, USA

Filing

Filing Name Filing date
Intent to Dissolve - Business Corporation (Domestic) 2023-02-09
Dissolution - Business Corporation (Domestic) 2023-02-09
Email Address for Official Notices 2016-10-06
Registered Office and/or Agent - Business Corporation (Domestic) 1999-09-09
Original Filing - Business Corporation (Domestic) 1986-03-18
Business Corporation (Domestic) Business Name (Business Name: Keith A. Kemnitz, D.D.S., P.A.) 1986-03-18

Date of last update: 23 Jan 2025

Sources: Minnesota's Official State Website