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Elk River Family Dentistry, P.A.

Company Details

Name: Elk River Family Dentistry, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 Aug 1992 (33 years ago)
Company Number: 68147deb-a9d4-e011-a886-001ec94ffe7f
File Number: 7N-138
Registered Office Address: 303 Main Str, Elk River, MN 55330, USA
Principal Executive Office Address: 303 MAIN ST NW, ELK RIVER, MN 55330–1531, USA
ZIP code: 55330
County: Sherburne County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELK RIVER FAMILY DENTISTRY 401(K) PLAN 2023 411727348 2024-06-04 ELK RIVER FAMILY DENTISTRY, P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7632347031
Plan sponsor’s address 303 MAIN ST, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2024-06-04
Name of individual signing MICHELLE RAMERT
Valid signature Filed with authorized/valid electronic signature
ELK RIVER FAMILY DENTISTRY 401(K) PLAN 2022 411727348 2023-05-22 ELK RIVER FAMILY DENTISTRY, P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7632347031
Plan sponsor’s address 303 MAIN ST, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2023-05-22
Name of individual signing MICHELLE RAMERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-22
Name of individual signing MICHELLE RAMERT
Valid signature Filed with authorized/valid electronic signature
ELK RIVER FAMILY DENTISTRY 401(K) PLAN 2021 411727348 2022-05-05 ELK RIVER FAMILY DENTISTRY, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7634419181
Plan sponsor’s address 303 MAIN ST, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2022-05-05
Name of individual signing LYNN KRATOCHWILL
Valid signature Filed with authorized/valid electronic signature
ELK RIVER FAMILY DENTISTRY 401(K) PLAN 2020 411727348 2021-04-29 ELK RIVER FAMILY DENTISTRY, P.A. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7634419181
Plan sponsor’s address 303 MAIN ST, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2021-04-29
Name of individual signing LYNETTE KRATOCHWILL
Valid signature Filed with authorized/valid electronic signature
ELK RIVER FAMILY DENTISTRY 401(K) PLAN 2019 411727348 2020-05-20 ELK RIVER FAMILY DENTISTRY, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7634419181
Plan sponsor’s address 303 MAIN ST, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2020-05-20
Name of individual signing LYNN KAY
Valid signature Filed with authorized/valid electronic signature
ELK RIVER FAMILY DENTISTRY 401(K) PLAN 2018 411727348 2019-05-14 ELK RIVER FAMILY DENTISTRY, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7634419181
Plan sponsor’s address 303 MAIN ST, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2019-05-14
Name of individual signing LYNETTE KRATOCHWILL
Valid signature Filed with authorized/valid electronic signature
ELK RIVER FAMILY DENTISTRY 401(K) PLAN 2017 411727348 2018-10-02 ELK RIVER FAMILY DENTISTRY, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 7634419181
Plan sponsor’s address 303 MAIN ST, ELK RIVER, MN, 55330

Signature of

Role Plan administrator
Date 2018-10-02
Name of individual signing LYNETTE KRATOCHWILL
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Lori Linn-Orn Chief Executive Officer 303 MAIN ST NW, ELK RIVER, MN 55330–1531, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2025-01-28
Administrative Dissolution - Business Corporation (Domestic) 2025-01-08
Business Corporation (Domestic) Business Name (Business Name: Elk River Family Dentistry, P.A.) 1998-10-05
Registered Office and/or Agent - Business Corporation (Domestic) 1994-02-03
Original Filing - Business Corporation (Domestic) 1992-08-12
Business Corporation (Domestic) Business Name (Business Name: NYBERG AND ASSOCIATES, P.A.) 1992-08-12

Date of last update: 31 Jan 2025

Sources: Minnesota's Official State Website