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  5. Maplewood Dental Associates, P.A.

Maplewood Dental Associates, P.A.

Company Details

Name: Maplewood Dental Associates, P.A.
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 29 Aug 1979 (45 years ago)
Company Number: 5bf687ef-9ad4-e011-a886-001ec94ffe7f
File Number: 7353
Principal Place of Business Address: 1736 Cope Ave E, St Paul, MN 55109, USA
ZIP code: 55109
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2023 410997783 2024-05-14 MAPLEWOOD DENTAL ASSOCIATES, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing MICHAEL J. SPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-14
Name of individual signing MICHAEL J. SPLETT
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2023 410997783 2024-05-08 MAPLEWOOD DENTAL ASSOCIATES, P.A. 31
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing MICHAEL J. SPLETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-08
Name of individual signing MICHAEL J. SPLETT
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2022 410997783 2023-03-22 MAPLEWOOD DENTAL ASSOCIATES, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2023-03-21
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-21
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2021 410997783 2022-03-24 MAPLEWOOD DENTAL ASSOCIATES, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2022-03-24
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-24
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2020 410997783 2021-03-29 MAPLEWOOD DENTAL ASSOCIATES, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2021-03-29
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-29
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2019 410997783 2020-04-24 MAPLEWOOD DENTAL ASSOCIATES, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-24
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2018 410997783 2019-05-02 MAPLEWOOD DENTAL ASSOCIATES, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2019-04-22
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-22
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2017 410997783 2018-04-05 MAPLEWOOD DENTAL ASSOCIATES, P.A. 29
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2018-04-05
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-05
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2017 410997783 2018-05-02 MAPLEWOOD DENTAL ASSOCIATES, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2018-05-02
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-02
Name of individual signing SCOTT W. KAJER
Valid signature Filed with authorized/valid electronic signature
MAPLEWOOD DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2016 410997783 2017-04-19 MAPLEWOOD DENTAL ASSOCIATES, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 6517703831
Plan sponsor’s address 1736 EAST COPE AVENUE, ST. PAUL, MN, 55109

Signature of
Role Plan administrator
Date 2017-04-19
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-19
Name of individual signing SCOTT KAJER
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
William & David Johnson et al Aplicant 1736 Cope Ave E, St Paul, MN 55109

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Maplewood Dental Associates, P.A.) 1979-08-29

Related by officers

No related officers

Related by address

1736 Cope Ave E, St Paul, MN 55109, USA

Dr. Dennis R. Trampe, P.A.

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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