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Plaza Dental, P.A.

Company Details

Name: Plaza Dental, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 05 Dec 1972 (52 years ago)
Company Number: 5c9171b2-a1d4-e011-a886-001ec94ffe7f
File Number: 2E-1077
Registered Office Address: 17773 Kenwood Trl, Lakeville, MN 55044, USA
Principal Executive Office Address: 1601 E Hwy 13 Prof Bldg #105, Burnsville, MN 55337, USA
ZIP code: 55044
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2019 410993086 2020-06-08 PLAZA DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 17773 KENWOOD TRAIL, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2020-06-08
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-08
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2018 410993086 2019-03-04 PLAZA DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 17773 KENWOOD TRAIL, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2019-03-04
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-04
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2017 410993086 2018-04-02 PLAZA DENTAL, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 17773 KENWOOD TRAIL, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2018-04-02
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-02
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2016 410993086 2018-04-02 PLAZA DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 17773 KENWOOD TRAIL, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2018-04-02
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-02
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2015 410993086 2017-07-18 PLAZA DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 17773 KENWOOD TRAIL, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2017-07-18
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-18
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2014 410993086 2017-02-01 PLAZA DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 1601 EAST HIGHWAY 13, SUITE 105, BURNSVILLE, MN, 55337

Signature of

Role Plan administrator
Date 2017-02-01
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-01
Name of individual signing MICHAEL E BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2014 410993086 2016-06-29 PLAZA DENTAL, P.A. 12
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 1601 EAST HIGHWAY 13, SUITE 105, BURNSVILLE, MN, 55337

Signature of

Role Plan administrator
Date 2016-06-29
Name of individual signing MIKE BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing MIKE BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2013 410993086 2015-02-05 PLAZA DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 1601 EAST HIGHWAY 13, SUITE 105, BURNSVILLE, MN, 55337

Signature of

Role Plan administrator
Date 2015-02-04
Name of individual signing MICHAEL BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-04
Name of individual signing MICHAEL BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES' PROFIT SHARING PLAN 2012 410993086 2014-01-08 PLAZA DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 1601 EAST HIGHWAY 13, SUITE 105, BURNSVILLE, MN, 55337

Signature of

Role Plan administrator
Date 2014-01-08
Name of individual signing MICHAEL BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-08
Name of individual signing MICHAEL BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
PLAZA DENTAL, P.A. EMPLOYEES PROFIT SHARING PLAN 2011 410993086 2013-02-06 PLAZA DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1973-01-10
Business code 621210
Sponsor’s telephone number 9528905450
Plan sponsor’s address 1601 EAST HIGHWAY 13, SUITE 105, BURNSVILLE, MN, 55337

Plan administrator’s name and address

Administrator’s EIN 410993086
Plan administrator’s name PLAZA DENTAL, P.A.
Plan administrator’s address 1601 EAST HIGHWAY 13, SUITE 105, BURNSVILLE, MN, 55337
Administrator’s telephone number 9528905450

Signature of

Role Plan administrator
Date 2013-02-06
Name of individual signing MICHAEL BERGSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-06
Name of individual signing MICHAEL BERGSTEIN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Michael E Bergstein Chief Executive Officer 1601 E Hwy 13 Prof Bldg #105, Burnsville, MN 55337, USA

Filing

Filing Name Filing date
Business Corporation (Domestic) Business Name (Business Name: Plaza Dental, P.A.) 1996-06-28
Business Corporation (Domestic) Business Name (Business Name: Lennard R. Lindquist, D.D.S., Joan A. Sheppard, D.D.S., P.A.) 1987-12-07
Business Corporation (Domestic) Active Status Report 1987-12-01
Registered Office and/or Agent - Business Corporation (Domestic) 1982-08-09
Original Filing - Business Corporation (Domestic) 1972-12-05
Business Corporation (Domestic) Business Name (Business Name: L. R. Lindquist, D.D.S., P.A.) 1972-12-05

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website