| Name: | Pine To Prairie Dental, P.A. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Inactive |
| Date formed: | 07 Sep 2000 (24 years ago) |
| Company Number: | 59ad65f8-aad4-e011-a886-001ec94ffe7f |
| File Number: | 11H-987 |
| Registered Office Address: | 4140 Thielman Ln #302, St Cloud, MN 56301, USA |
| Principal Executive Office Address: | 4140 Thielman Ln Ste 302, St Cloud, MN 56301, USA |
| ZIP code: | 56301 |
| County: | Stearns County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PINE TO PRAIRIE DENTAL, P.A. 401(K)/PROFIT SHARING PLAN | 2009 | 411982631 | 2010-10-08 | PINE TO PRAIRIE DENTAL, P.A. | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 411982631 |
| Plan administrator’s name | PINE TO PRAIRIE DENTAL, P.A. |
| Plan administrator’s address | 4140 THIELMAN LANE SUITE 302, SAINT CLOUD, MN, 56301 |
| Administrator’s telephone number | 3202527752 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | CYNTHIA MORAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3202527752 |
| Plan sponsor’s address | 4140 THIELMAN LANE SUITE 302, SAINT CLOUD, MN, 56301 |
Plan administrator’s name and address
| Administrator’s EIN | 411982631 |
| Plan administrator’s name | PINE TO PRAIRIE DENTAL, P.A. |
| Plan administrator’s address | 4140 THIELMAN LANE SUITE 302, SAINT CLOUD, MN, 56301 |
| Administrator’s telephone number | 3202527752 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | CYNTHIA R. MORAN, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Cynthia Moran | Chief Executive Officer | 4140 Thielman Ln Ste 302, St Cloud, MN 56301, USA |
| Name | Role |
|---|---|
| Cynthia R Moran | Agent |
| Filing Name | Filing date |
|---|---|
| Administrative Dissolution Name Hold Release - Business Corporation (Domestic) | 2014-02-26 |
| Administrative Dissolution - Business Corporation (Domestic) | 2013-02-25 |
| Registered Office and/or Agent - Business Corporation (Domestic) | 2002-12-17 |
| Original Filing - Business Corporation (Domestic) | 2000-09-07 |
| Business Corporation (Domestic) Business Name (Business Name: Pine To Prairie Dental, P.A.) | 2000-09-07 |
Date of last update: 03 Oct 2024
Sources: Minnesota's Official State Website
