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Forest Lake Endodontics, PLLC

Company Details

Name: Forest Lake Endodontics, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 17 Dec 2018 (6 years ago)
Company Number: 62d895da-1402-e911-9169-00155d0deff0
File Number: 1054640800026
Registered Office Address: 1420 Lake Street North, #200, Forest Lake, MN 55025, USA
Principal Executive Office Address: 1420 LAKE ST S STE 200, FOREST LAKE, MN 55025–2713, USA
ZIP code: 55025
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOREST LAKE ENDODONTICS RETIREMENT PLAN 2023 832967347 2024-06-07 FOREST LAKE ENDODONTICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6514649888
Plan sponsor’s address 14170 7TH STREET NORTH, STILLWATER, MN, 55082
FOREST LAKE ENDODONTICS CASH BALANCE PLAN 2023 832967347 2024-07-24 FOREST LAKE ENDODONTICS, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6514851762
Plan sponsor’s address 14170 7TH STREET NORTH, STILLWATER, MN, 55082
FOREST LAKE ENDODONTICS RETIREMENT PLAN 2022 832967347 2023-05-05 FOREST LAKE ENDODONTICS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6514649888
Plan sponsor’s address 1420 LAKE ST., SOUTH, SUITE 200, FOREST LAKE, MN, 55025
FOREST LAKE ENDODONTICS CASH BALANCE PLAN 2022 832967347 2023-05-05 FOREST LAKE ENDODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6514851762
Plan sponsor’s address 14170 7TH STREET NORTH, STILLWATER, MN, 55082
FOREST LAKE ENDODONTICS CASH BALANCE PLAN 2021 832967347 2022-09-21 FOREST LAKE ENDODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6514851762
Plan sponsor’s address 14170 7TH STREET NORTH, STILLWATER, MN, 55082
FOREST LAKE ENDODONTICS RETIREMENT PLAN 2021 832967347 2022-09-14 FOREST LAKE ENDODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6514649888
Plan sponsor’s address 1420 LAKE ST., SOUTH, SUITE 200, FOREST LAKE, MN, 55025
FOREST LAKE ENDODONTICS CASH BALANCE PLAN 2020 832967347 2021-09-01 FOREST LAKE ENDODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 6514649888
Plan sponsor’s address 14170 7TH STREET NORTH, STILLWATER, MN, 55082
FOREST LAKE ENDODONTICS RETIREMENT PLAN 2020 832967347 2021-10-12 FOREST LAKE ENDODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6514649888
Plan sponsor’s address 1420 LAKE ST., SOUTH, SUITE 200, FOREST LAKE, MN, 55025
FOREST LAKE ENDODONTICS RETIREMENT PLAN 2020 832967347 2021-06-01 FOREST LAKE ENDODONTICS, PLLC 4
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6514649888
Plan sponsor’s address 1420 LAKE ST., SOUTH, SUITE 200, FOREST LAKE, MN, 55025
FOREST LAKE ENDODONTICS RETIREMENT PLAN 2019 832967347 2020-05-08 FOREST LAKE ENDODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6514649888
Plan sponsor’s address 1420 LAKE ST., SOUTH, SUITE 200, FOREST LAKE, MN, 55025

Manager

Name Role Address
Mary Ann Bunczak Manager 14170 7TH ST N, STILLWATER, MN 55082–1960, USA

Filing

Filing Name Filing date
Original Filing - Limited Liability Company (Domestic) (Business Name: Forest Lake Endodontics, PLLC)Professional Service - Dentistry & Dental Hygiene 2018-12-17

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website