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Northview Dental

Company Details

Name: Northview Dental
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 21 Aug 2002 (22 years ago)
Company Number: 67d62c81-9fd4-e011-a886-001ec94ffe7f
File Number: 272659
Principal Place of Business Address: 1049 W Hwy 96, Shoreview, MN 55126, USA
ZIP code: 55126
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2022 411748063 2023-06-20 NORTHVIEW DENTAL 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2021 411748063 2022-05-24 NORTHVIEW DENTAL 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2020 411748063 2021-04-27 NORTHVIEW DENTAL 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2021-04-27
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2019 411748063 2020-04-30 NORTHVIEW DENTAL 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2020-04-30
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2018 411748063 2019-05-21 NORTHVIEW DENTAL 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2017 411748063 2018-07-25 NORTHVIEW DENTAL 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2016 411748063 2017-04-12 NORTHVIEW DENTAL 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2015 411748063 2016-06-28 NORTHVIEW DENTAL 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2014 411748063 2015-06-30 NORTHVIEW DENTAL 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE. NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature
NORTHVIEW DENTAL 401(K) RETIREMENT PLAN 2013 411748063 2014-06-10 NORTHVIEW DENTAL 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6514831858
Plan sponsor’s address 4700 LEXINGTON AVE NORTH, SHOREVIEW, MN, 55126

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing SUSAN SAMUELSON
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Northview Dental PA Aplicant 1049 W Hwy 96, Shoreview, MN 55126

Filing

Filing Name Filing date
Expired - Assumed Name 2012-08-22
Original Filing - Assumed Name (Business Name: Northview Dental) 2002-08-21

Related by officers

Northview Dental PA

Natural Smiles Dental Care

Related by address

No related companies by address

Date of last update: 05 Oct 2024

Sources: Minnesota's Official State Website

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