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  5. Breitbach Family Dentistry, P.A.

Breitbach Family Dentistry, P.A.

Company Details

Name: Breitbach Family Dentistry, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 22 Dec 1999 (25 years ago)
Company Number: 6069f6a2-9dd4-e011-a886-001ec94ffe7f
File Number: 10Y-449
Registered Office Address: 2519 Coon Rapids Blvd, Coon Rapids, MN 55433, USA
Principal Executive Office Address: 2519 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433–3952, USA
ZIP code: 55433
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREITBACH FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2023 411957949 2024-06-15 BREITBACH FAMILY DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6123848830
Plan sponsor’s address 2519 COON RAPIDS BLVD NW, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2024-06-15
Name of individual signing ROBERT BREITBACH
Valid signature Filed with authorized/valid electronic signature
BREITBACH FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2022 411957949 2023-05-22 BREITBACH FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6123848830
Plan sponsor’s address 2519 COON RAPIDS BLVD NW, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2023-05-22
Name of individual signing ROBERT BREITBACH
Valid signature Filed with authorized/valid electronic signature
BREITBACH FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2021 411957949 2022-06-28 BREITBACH FAMILY DENTISTRY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6123848830
Plan sponsor’s address 2519 COON RAPIDS BLVD NW, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing ROBERT BREITBACH
Valid signature Filed with authorized/valid electronic signature
BREITBACH FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2020 411957949 2021-10-08 BREITBACH FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6123848830
Plan sponsor’s address 2519 COON RAPIDS BLVD NW, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing ROBERT BREITBACH
Valid signature Filed with authorized/valid electronic signature
BREITBACH FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2019 411957949 2020-09-01 BREITBACH FAMILY DENTISTRY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6123848830
Plan sponsor’s address 2519 COON RAPIDS BLVD NW, COON RAPIDS, MN, 55433

Signature of
Role Plan administrator
Date 2020-09-01
Name of individual signing ROBERT S BREITBACH
Valid signature Filed with authorized/valid electronic signature
BREITBACH FAMILY DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2018 411957949 2019-05-17 BREITBACH FAMILY DENTISTRY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6123848830
Plan sponsor’s address 2519 COON RAPIDS BLVD, COON RAPIDS, MN, 554333952

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing ROBERT S BREITBACH
Valid signature Filed with authorized/valid electronic signature
BREITBACH FAMILY DENTISTRY, P.A. 401K PROFIT SHARING PLAN 2017 411957949 2018-10-02 BREITBACH FAMILY DENTISTRY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6123848830
Plan sponsor’s address 2519 COON RAPIDS BLVD, COON RAPIDS, MN, 554333952

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing ROBERT S BREITBACH
Valid signature Filed with authorized/valid electronic signature
BREITBACH FAMILY DENTISTRY, P.A. 401K PROFIT SHARING PLAN 2016 411957949 2017-07-06 BREITBACH FAMILY DENTISTRY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 7637552830
Plan sponsor’s address 2519 COON RAPIDS BLVD, COON RAPIDS, MN, 554333952
BREITBACH FAMILY DENTISTRY, P.A. 401K PROFIT SHARING PLAN 2015 411957949 2016-06-21 BREITBACH FAMILY DENTISTRY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 7637552830
Plan sponsor’s address 2519 COON RAPIDS BLVD, COON RAPIDS, MN, 554333952
BREITBACH FAMILY DENTISTRY, P.A. 401K PROFIT SHARING PLAN 2014 411957949 2015-05-21 BREITBACH FAMILY DENTISTRY, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 7637552830
Plan sponsor’s address 2519 COON RAPIDS BLVD, COON RAPIDS, MN, 554333952

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing ROBERT S. BREITBACH, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Robert S Breitbach DDS Chief Executive Officer 2519 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433–3952, USA

Agent

Name Role
Robert S Breitbach Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2006-08-22
Original Filing - Business Corporation (Domestic) 1999-12-22
Business Corporation (Domestic) Business Name (Business Name: Breitbach Family Dentistry, P.A.) 1999-12-22
Original Filing - Business Corporation (Domestic)Professional Service - Dentistry & Dental Hygiene 1999-12-22

Related by officers

Robert S Breitbach

Ozwood Properties LLC

Related by address

2519 Coon Rapids Blvd, Coon Rapids, MN 55433, USA

Ozwood Properties LLC El Ray R. Fertig, D.D.S. and Thomas A. Aulwes, D.D.S., Ltd. BOULEVARD DENTAL COON RAPIDS

Date of last update: 19 Jan 2025

Sources: Minnesota's Official State Website

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