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Bluestone Oral and Maxillofacial Surgery, P.A.

Company Details

Name: Bluestone Oral and Maxillofacial Surgery, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 19 Jul 1993 (31 years ago)
Company Number: 5d2a5fab-b1d4-e011-a886-001ec94ffe7f
File Number: 7W-724
Registered Office Address: 324 W Superior Str #720, Duluth, MN 55802–1761, USA
Principal Executive Office Address: 324 W Superior St, #720, Duluth, MN 55802, USA
ZIP code: 55802
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A. PROFIT SHARING PLAN 2010 411754548 2011-03-31 BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2187278994
Plan sponsor’s address 324 WEST SUPERIOR STREET, SUITE 720, DULUTH, MN, 55802

Plan administrator’s name and address

Administrator’s EIN 411754548
Plan administrator’s name BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.
Plan administrator’s address 324 WEST SUPERIOR STREET, SUITE 720, DULUTH, MN, 55802
Administrator’s telephone number 2187278994

Signature of

Role Plan administrator
Date 2011-03-31
Name of individual signing DAVID JENNINGS
Valid signature Filed with authorized/valid electronic signature
BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A. PROFIT SHARING PLAN 2009 411754548 2010-07-06 BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2187278994
Plan sponsor’s address 324 WEST SUPERIOR STREET, SUITE 720, DULUTH, MN, 55802

Plan administrator’s name and address

Administrator’s EIN 411754548
Plan administrator’s name BLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.
Plan administrator’s address 324 WEST SUPERIOR STREET, SUITE 720, DULUTH, MN, 55802
Administrator’s telephone number 2187278994

Signature of

Role Plan administrator
Date 2010-07-06
Name of individual signing DAVID JENNINGS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
David R Jennings Chief Executive Officer 324 W Superior St, #720, Duluth, MN 55802, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2020-02-20
Business Corporation (Domestic) Business Name (Business Name: Bluestone Oral and Maxillofacial Surgery, P.A.) 2003-03-20
Registered Office and/or Agent - Business Corporation (Domestic) 1998-03-30
Original Filing - Business Corporation (Domestic) 1993-07-19
Business Corporation (Domestic) Business Name (Business Name: DAVID R. JENNINGS, D.D.S., P.A.) 1993-07-19

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website