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  5. Land of Lakes Endodontics, P.A.

Land of Lakes Endodontics, P.A.

Company Details

Name: Land of Lakes Endodontics, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 Dec 2003 (21 years ago)
Company Number: 6c95947a-87d4-e011-a886-001ec94ffe7f
File Number: 721064-2
Principal Executive Office Address: 2850 Curve Crest Blvd, Suite 115, Stillwater, MN 55082, USA
Registered Office Address: 525 Park Street, Suite 247, SAINT PAUL, MN 55103, USA
ZIP code: 55103
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAND OF LAKES ENDODONTICS 401K PLAN 2021 753139903 2022-12-27 LAND OF LAKES ENDODONTICS, P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD., #115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2022-12-27
Name of individual signing MATTHEW M GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS 401K PLAN 2021 753139903 2022-07-18 LAND OF LAKES ENDODONTICS, P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD., #115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing MATTHEW M GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS 401K PLAN 2020 753139903 2021-07-23 LAND OF LAKES ENDODONTICS, P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD., #115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-23
Name of individual signing MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS 401K PLAN 2019 753139903 2020-05-13 LAND OF LAKES ENDODONTICS, P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD., #115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2020-05-13
Name of individual signing MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-13
Name of individual signing MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS 401K PLAN 2018 753139903 2019-07-03 LAND OF LAKES ENDODONTICS, P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD., #115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS 401K PLAN 2017 753139903 2018-05-15 LAND OF LAKES ENDODONTICS, P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD., #115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2018-05-15
Name of individual signing MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS DEFINED BENEFIT PLAN 2016 753139903 2017-10-16 LAND OF LAKES ENDODONTICS, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD. SUITE 115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing DR. MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing DR. MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS 401K PLAN 2016 733139903 2017-07-12 LAND OF LAKES ENDODONTICS, P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD., #115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS DEFINED BENEFIT PLAN 2015 753139903 2016-10-14 LAND OF LAKES ENDODONTICS, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD. SUITE 115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DR. MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing DR. MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
LAND OF LAKES ENDODONTICS DEFINED BENEFIT PLAN 2014 753139903 2015-07-14 LAND OF LAKES ENDODONTICS, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514398764
Plan sponsor’s address 2850 CURVE CREST BLVD. SUITE 115, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing DR. MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing DR. MATTHEW GRAU
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Matthew M Grau Chief Executive Officer 2850 Curve Crest Blvd, Suite 115, Stillwater, MN 55082, USA

Agent

Name Role
Cogency Global Inc. Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2012-04-23
Original Filing - Business Corporation (Domestic) (Business Name: Land of Lakes Endodontics, P.A.)Professional Service - Dentistry & Dental Hygiene 2003-12-12

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Date of last update: 18 Jan 2025

Sources: Minnesota's Official State Website

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