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  5. Range Family Dental LLC

Range Family Dental LLC

Company Details

Name: Range Family Dental LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 22 Mar 2012 (13 years ago)
Company Number: 5ced2097-4c74-e111-b001-001ec94ffe7f
File Number: 479976300023
Registered Office Address: 727 4th St N, Virginia, MN 55792, USA
Principal Executive Office Address: 1036 1st ST S, Virginia, MN 55792, USA
ZIP code: 55792
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RANGE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2023 454857081 2024-06-13 RANGE FAMILY DENTAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2187410089
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing JASON BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2022 454857081 2023-06-15 RANGE FAMILY DENTAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2187410089
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2023-06-15
Name of individual signing JASON BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2021 454857081 2022-07-30 RANGE FAMILY DENTAL, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2187410089
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2022-07-30
Name of individual signing JASON BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2020 454857081 2021-06-11 RANGE FAMILY DENTAL, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2187410089
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2021-06-11
Name of individual signing JASON BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2019 454857081 2020-06-18 RANGE FAMILY DENTAL, LLC 13
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2187410089
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing JBERG5747
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2019 454857081 2020-06-30 RANGE FAMILY DENTAL, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2187410089
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing JASON BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2018 454857081 2019-06-17 RANGE FAMILY DENTAL, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2187410089
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing JASON BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2017 454857081 2018-07-27 RANGE FAMILY DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183407467
Plan sponsor’s address 727 4TH ST N, VIRGINIA, MN, 557922369

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing JASON BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2016 454857081 2017-07-17 RANGE FAMILY DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183407467
Plan sponsor’s address 302 CHESTNUT STREET SUITE 200, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing JASON OLAI BERG
Valid signature Filed with authorized/valid electronic signature
RANGE FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2015 454857081 2016-06-06 RANGE FAMILY DENTAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2183407467
Plan sponsor’s address 302 CHESTNUT STREET SUITE 200, VIRGINIA, MN, 55792

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing JASON OLAI BERG
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
JASON O BERG Manager 727 4th ST N, Virginia, MN 55792, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2021-10-04
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Range Family Dental LLC)Professional Service - Dentistry & Dental Hygiene 2012-03-22

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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