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  5. Sunrise River Dental, P.A.

Sunrise River Dental, P.A.

Company Details

Name: Sunrise River Dental, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 04 Nov 1997 (27 years ago)
Company Number: 5f14936c-b4d4-e011-a886-001ec94ffe7f
File Number: 9W-570
Registered Office Address: 26357 Forest Blvd PO Bx 845, Wyoming, MN 55092, USA
Principal Executive Office Address: 7602 WYOMING TRL, WYOMING, MN 55092–8321, USA
ZIP code: 55092
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2023 411891341 2024-10-09 SUNRISE RIVER DENTAL, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address 7602 WYOMING TRAIL, WYOMING, MN, 55092

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing KELSEY PLAISANCE
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2022 411891341 2023-10-03 SUNRISE RIVER DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address 7602 WYOMING TRAIL, WYOMING, MN, 55092

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2021 411891341 2022-02-21 SUNRISE RIVER DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2022-02-21
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2020 411891341 2021-02-22 SUNRISE RIVER DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2021-02-22
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2019 411891341 2020-05-14 SUNRISE RIVER DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2018 411891341 2019-03-26 SUNRISE RIVER DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2019-03-26
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2017 411891341 2018-06-15 SUNRISE RIVER DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2016 411891341 2017-07-31 SUNRISE RIVER DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2015 411891341 2016-10-10 SUNRISE RIVER DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature
ST. CROIX-SUNRISE 401(K) PROFIT SHARING PLAN 2014 411891341 2015-06-16 SUNRISE RIVER DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 6514627017
Plan sponsor’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845

Plan administrator’s name and address
Administrator’s EIN 411891341
Plan administrator’s name SUNRISE RIVER DENTAL, P.A.
Plan administrator’s address P O BOX 845 26357 FOREST BLVD., WYOMING, MN, 550920845
Administrator’s telephone number 6514627017

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing STEPHANIE STEC
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
STEPHANIE LARSON STEC DDS Chief Executive Officer 7602 WYOMING TRL, WYOMING, MN 55092–8321, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2002-08-29
Original Filing - Business Corporation (Domestic) 1997-11-04
Business Corporation (Domestic) Business Name (Business Name: Sunrise River Dental, P.A.) 1997-11-04

Related by officers

No related officers

Related by address

7602 WYOMING TRL, WYOMING, MN 55092–8321, USA

Sunrise River Farms Holdings LLC

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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