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  5. Edgewood Dental, PLLC

Edgewood Dental, PLLC

Company Details

Name: Edgewood Dental, PLLC
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 23 Sep 2004 (20 years ago)
Company Number: 6cf8d628-89d4-e011-a886-001ec94ffe7f
File Number: 1046693-2
Principal Place of Business Address: 15616 Edgewood Drive, Baxter, MN 56425, USA
ZIP code: 56425
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDGEWOOD DENTAL 401(K) PLAN 2023 201819308 2024-06-27 EDGEWOOD DENTAL 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15616 EDGEWOOD DRIVE SUITE 110, BAXTER, MN, 56401

Signature of
Role Plan administrator
Date 2024-06-27
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2022 201819308 2023-10-11 EDGEWOOD DENTAL 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15616 EDGEWOOD DRIVE SUITE 110, BAXTER, MN, 56401

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2021 201819308 2022-07-18 EDGEWOOD DENTAL 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15616 EDGEWOOD DRIVE SUITE 110, BAXTER, MN, 56401

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2020 201819308 2021-06-16 EDGEWOOD DENTAL 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15167 EDGEWOOD DRIVE, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2019 201819308 2020-06-24 EDGEWOOD DENTAL 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15167 EDGEWOOD DRIVE, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2018 201819308 2019-06-25 EDGEWOOD DENTAL 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15167 EDGEWOOD DRIVE, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2017 201819308 2018-07-30 EDGEWOOD DENTAL 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15167 EDGEWOOD DRIVE, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2016 201819308 2017-07-26 EDGEWOOD DENTAL 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15167 EDGEWOOD DRIVE, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD DENTAL 401(K) PLAN 2015 201819308 2016-07-28 EDGEWOOD DENTAL 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2188280565
Plan sponsor’s address 15167 EDGEWOOD DRIVE, BAXTER, MN, 56425

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing JEANNI FOSS
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Dr. Jeanni Foss DDS PLLC Aplicant 15616 Edgewood Drive, Baxter, MN 56425

Filing

Filing Name Filing date
Amendment - Assumed Name 2021-03-24
Annual Reinstatement - Assumed Name 2015-08-04
Expired - Assumed Name 2014-09-24
Original Filing - Assumed Name (Business Name: Edgewood Dental, PLLC) 2004-09-23

Related by officers

No related officers

Related by address

15616 Edgewood Drive, Baxter, MN 56425, USA

EkoMarkt, LLC Dr. Jeanni Foss, D.D.S., PLLC Brighter Days Foundation Dental Edge Laboratory, LLC

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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